Kaseng Derek Chan-Pong in Melbourne - Gastroenterology
Kaseng Derek Chan-Pong - NPI 1316937535
Kaseng Derek Chan-Pong is a Gastroenterology in Melbourne, Florida. Kaseng Derek Chan-Pong practices all healthcare services and medical treatments related to Gastroenterology. The NPI Number for Kaseng Derek Chan-Pong is 1316937535. The last update date is 2019-04-04.
Kaseng Derek Chan-Pong's current location address is 1223 Gateway Dr Ste B, Melbourne, Florida. You can contact this provider via phone number 3217254500 and fax number 3219522330. The mailing address for Kaseng Derek Chan-Pong is 1223 Gateway Dr Ste B, Melbourne, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kaseng Derek Chan-Pong |
|---|---|
| Address | 1223 Gateway Dr Ste B, Melbourne, Florida |
| Phone Number | 3217254500 |
| Fax Number | 3219522330 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1316937535 |
|---|---|
| Provider Enumeration Date | 2005-10-27 |
| Last Updated Date | 2019-04-04 |
Provider Mailing Address Detail
| Address | 1223 Gateway Dr Ste B |
|---|---|
| City | Melbourne |
| State | Florida (FL) |
| Post Code | 329012607 |
| Phone Number | 3217254500 |
| Fax Number | 3219522330 |
Provider's Primary Taxonomy Detail
| Speciality | Gastroenterology |
|---|---|
| Taxonomy | 207Rg0100X |
| Licence No | ME73216 |
|
Definition: An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and perf |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 49928Y | FL | MEDICARE | |
| 259780200 | FL | -- |
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What is the Kaseng Derek Chan-Pong's 1316937535?
The Kaseng Derek Chan-Pong's NPI (National Provider Identifier) Number is 1316937535. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Kaseng Derek Chan-Pong located?
The Kaseng Derek Chan-Pong is located at 1223 Gateway Dr Ste B, Melbourne, FL 329012607.
What is the Kaseng Derek Chan-Pong's specialty and taxonomy code?
The Kaseng Derek Chan-Pong's specialty is Gastroenterology, and the corresponding taxonomy code is 207Rg0100X.
When did Kaseng Derek Chan-Pong receive its 1316937535 assignment?
The Kaseng Derek Chan-Pong was assigned its 1316937535 on 2005-10-27, which is the date when this unique identifier was issued to the organization.
When was the information related to Kaseng Derek Chan-Pong most recently updated or refreshed?
The details pertaining to the Kaseng Derek Chan-Pong, including its address, specialty, and other relevant information, were last updated or refreshed on 2019-04-04.
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