Provider Demographics
NPI:1205956414
Name:KIANG, HUI-TZU M (DO)
Entity type:Individual
Prefix:
First Name:HUI-TZU
Middle Name:M
Last Name:KIANG
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 E GREENVILLE ST
Mailing Address - Street 2:SUITE 2000
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29621-1580
Mailing Address - Country:US
Mailing Address - Phone:864-260-1590
Mailing Address - Fax:864-260-1596
Practice Address - Street 1:2000 E GREENVILLE ST
Practice Address - Street 2:SUITE 2000
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29621-1580
Practice Address - Country:US
Practice Address - Phone:864-260-1590
Practice Address - Fax:864-260-1596
Is Sole Proprietor?:No
Enumeration Date:2007-03-30
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC875207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC57-0359174OtherTAX ID
SC008752Medicaid
SCAA28007043Medicare PIN
SC008752Medicaid