Provider Demographics
NPI:1700129541
Name:HUNG, KIN WAI (MD, MBA, MSCR)
Entity type:Individual
Prefix:DR
First Name:KIN WAI
Middle Name:
Last Name:HUNG
Suffix:
Gender:M
Credentials:MD, MBA, MSCR
Other - Prefix:DR
Other - First Name:TONY
Other - Middle Name:
Other - Last Name:HUNG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD, MBA, MSCR
Mailing Address - Street 1:85 RETREAT AVE
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06106-2555
Mailing Address - Country:US
Mailing Address - Phone:860-972-4183
Mailing Address - Fax:860-728-0151
Practice Address - Street 1:85 RETREAT AVE
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06106-2555
Practice Address - Country:US
Practice Address - Phone:860-972-4183
Practice Address - Fax:860-728-0151
Is Sole Proprietor?:No
Enumeration Date:2013-03-30
Last Update Date:2024-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA134570207R00000X, 207RH0003X
CT79279207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine