Provider Demographics
NPI:1548620990
Name:DR WILBUR KUO & ASSOCIATES INTERNAL MEDICINE LLC
Entity type:Organization
Organization Name:DR WILBUR KUO & ASSOCIATES INTERNAL MEDICINE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:WILBUR
Authorized Official - Middle Name:
Authorized Official - Last Name:KUO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-552-8126
Mailing Address - Street 1:5965 EXCHANGE DR STE A-B
Mailing Address - Street 2:
Mailing Address - City:SYKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21784-9254
Mailing Address - Country:US
Mailing Address - Phone:410-552-8126
Mailing Address - Fax:443-458-7220
Practice Address - Street 1:5965 EXCHANGE DR STE A-B
Practice Address - Street 2:
Practice Address - City:SYKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21784-9254
Practice Address - Country:US
Practice Address - Phone:410-552-8126
Practice Address - Fax:443-458-7220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-28
Last Update Date:2024-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0058137207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1336118900OtherNPI FOR DR KUO
485969Medicare PIN
H55206Medicare UPIN