Provider Demographics
NPI:1427527258
Name:HUANG, CHIEN C
Entity type:Individual
Prefix:
First Name:CHIEN
Middle Name:C
Last Name:HUANG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 W MACPHAIL RD
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21014-4357
Mailing Address - Country:US
Mailing Address - Phone:410-638-5804
Mailing Address - Fax:410-638-5806
Practice Address - Street 1:550 W MACPHAIL RD
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014-4357
Practice Address - Country:US
Practice Address - Phone:410-638-5804
Practice Address - Fax:410-638-5806
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-22
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX49850183500000X
NJ28RI03345000183500000X
PARP444463183500000X
DEA1-0003983183500000X
MD19569183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist