Provider Demographics
NPI:1871716910
Name:NG, ANDREW CHI-WEI (MD)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:CHI-WEI
Last Name:NG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:423 BROADWAY
Mailing Address - Street 2:SUITE 604
Mailing Address - City:MILLBRAE
Mailing Address - State:CA
Mailing Address - Zip Code:94030-1905
Mailing Address - Country:US
Mailing Address - Phone:650-732-9721
Mailing Address - Fax:
Practice Address - Street 1:423 BROADWAY
Practice Address - Street 2:SUITE 604
Practice Address - City:MILLBRAE
Practice Address - State:CA
Practice Address - Zip Code:94030-1905
Practice Address - Country:US
Practice Address - Phone:650-732-9721
Practice Address - Fax:510-323-4286
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2014-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301088587207R00000X
CAA107327207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine