Doctor Name: | KEITH KWOK |
NPI Number: | 1104807569 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | A96381 |
Business Practice Address: | 1530 North Bessie Avenue Suite 108 Tracy, CA - 95376 |
Business Phone Number: | 2098332393 |
Business Fax Number: | |
Mailing Address: | 1530 North Bessie Avenue, Suite 108 TRACY |
State: | CA |
Postal Code: | 95376 |
Phone Number: | 2098332393 |
Fax Number: | |
NPI Enumeration Date: | 11/10/2005 |
NPI Last Update Date: | 10/01/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085N0700X |
License Number: | A96381 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Neuroradiology |
Taxonomy Definition: | A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. |