Kwan, Tak W.

Kwan, Tak W. is an sole proprietor health care provider with primary practice located at 139 Centre St Suite 307, New York NY 10013-4408. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Kwan, Tak W. can be contacted via phone (212) 334-3507.

Contact Information

Primary practice address
139 Centre St Suite 307 New York NY 10013-4408
Phone: (212) 334-3507
Fax: (212) 334-4728
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 168098 New York
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 168098 New York

Profile Details

NPI number 1639130925
LBN Legal business name Kwan, Tak W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 28th, 2006
Last updated Nov 20th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639130925 NPPES
New York Other WEJ461 MEDICARE GROUP ID #
New York MEDICAID 01611545 MEDICARE GROUP ID #

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