Provider Demographics
NPI:1427781707
Name:WAT, SANG KIT (RPH, PHARMD, MPH)
Entity type:Individual
Prefix:DR
First Name:SANG KIT
Middle Name:
Last Name:WAT
Suffix:
Gender:M
Credentials:RPH, PHARMD, MPH
Other - Prefix:
Other - First Name:STEPHEN
Other - Middle Name:
Other - Last Name:WAT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1205 W 110TH ST APT 17
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44102-1561
Mailing Address - Country:US
Mailing Address - Phone:917-470-8861
Mailing Address - Fax:
Practice Address - Street 1:11100 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106-1716
Practice Address - Country:US
Practice Address - Phone:866-844-2273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-05
Last Update Date:2022-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03442064183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist