Provider Demographics
NPI:1699761536
Name:KAKWAN, UME-HANEY Y (MD)
Entity type:Individual
Prefix:DR
First Name:UME-HANEY
Middle Name:Y
Last Name:KAKWAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1612 W VILLA MARIA RD STE 130
Mailing Address - Street 2:
Mailing Address - City:BRYAN
Mailing Address - State:TX
Mailing Address - Zip Code:77807-2310
Mailing Address - Country:US
Mailing Address - Phone:979-690-4836
Mailing Address - Fax:979-690-4837
Practice Address - Street 1:1612 W VILLA MARIA RD STE 130
Practice Address - Street 2:
Practice Address - City:BRYAN
Practice Address - State:TX
Practice Address - Zip Code:77807-2310
Practice Address - Country:US
Practice Address - Phone:979-690-4836
Practice Address - Fax:979-690-4837
Is Sole Proprietor?:No
Enumeration Date:2005-09-26
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXL1903207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB160056Medicare PIN