Basic Information
| Provider Information | |||||||||
| NPI: | 1730383019 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KUAH | ||||||||
| FirstName: | SOLOMON | ||||||||
| MiddleName: | SAMUEL | ||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 220 RENNIE AVE | ||||||||
| Address2: | |||||||||
| City: | VENICE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 902912646 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5042028057 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2220 CANTERBURY DR | ||||||||
| Address2: | |||||||||
| City: | HAYS | ||||||||
| State: | KS | ||||||||
| PostalCode: | 676012370 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7856235000 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/12/2007 | ||||||||
| LastUpdateDate: | 02/26/2013 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | 245261 | NY | N | Allopathic & Osteopathic Physicians | Emergency Medicine | 207P00000X | A115819 | CA | Y | Allopathic & Osteopathic Physicians | Emergency Medicine | 207P00000X | 04-35559 | KS | N | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.