Provider Demographics
NPI:1871242768
Name:INGUITO, GALICANO KAI LABIO III (MD)
Entity type:Individual
Prefix:DR
First Name:GALICANO KAI
Middle Name:LABIO
Last Name:INGUITO
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:KAI
Other - Middle Name:
Other - Last Name:INGUITO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:15 OMEGA DR STE 3
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-2057
Mailing Address - Country:US
Mailing Address - Phone:302-368-5003
Mailing Address - Fax:
Practice Address - Street 1:15 OMEGA DR STE 3
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-2057
Practice Address - Country:US
Practice Address - Phone:302-368-5003
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-20
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-0027678207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine