Andrew Kwak
Student in an Organized Health Care Education/Training Program in Mesa, AZ. Individual provider (NPI-1).
NPI number1649182007
StatusActive
Last updated in NPPESSep 21, 2026
Details
- NPI
- 1649182007
- Entity type
- Individual (NPI-1)
- Name
- Andrew Kwak
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 21, 2026
- Certification date
- Sep 21, 2026
- Last updated
- Sep 21, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | AZ | Yes |
Practice location
5855 E Still CirMesa, AZ 85206-3631
Phone 480-248-8100
Mailing address
5855 E Still CirMesa, AZ 85206-3631
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 356 Student in an Organized Health Care Education/Training Program providers in Mesa · All 13,507 providers in Mesa
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