Jim Pang is a Geriatric Psychiatry in Cordova, Tennessee. Jim Pang practices all healthcare services and medical treatments related to Geriatric Psychiatry. The NPI Number for Jim Pang is 1780690230. The last update date is 2020-02-09.
Jim Pang's current location address is 65 Germantown Ct Ste 402, Cordova, Tennessee. You can contact this provider via phone number 9017524900 and fax number 9017524902. The mailing address for Jim Pang is 65 Germantown Ct Ste 402, Cordova, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jim Pang |
|---|---|
| Address | 65 Germantown Ct Ste 402, Cordova, Tennessee |
| Phone Number | 9017524900 |
| Fax Number | 9017524902 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1780690230 |
|---|---|
| Provider Enumeration Date | 2006-08-01 |
| Last Updated Date | 2020-02-09 |
Provider Mailing Address Detail
| Address | 65 Germantown Ct Ste 402 |
|---|---|
| City | Cordova |
| State | Tennessee (TN) |
| Post Code | 380187290 |
| Phone Number | 9017524900 |
| Fax Number | 9017524902 |
Provider's Primary Taxonomy Detail
| Speciality | Geriatric Psychiatry |
|---|---|
| Taxonomy | 2084P0805X |
| Licence No | 2006031057 |
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Definition: Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 63427 | TN | BLUE CROSS PROVIDER NUMBE | |
| 115350 | MS | -- | |
| 2850722 | MS | -- | |
| 207980814 | MO | -- | |
| 3024414 | TN | -- | |
| 127994001 | AR | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jim Pang?
The Jim Pang has been issued the NPI (National Provider Identifier) 1780690230 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Jim Pang?
The Jim Pang is situated at 65 Germantown Ct Ste 402, in the city of Cordova, state of TN, with the zip code 380187290.
What is Jim Pang's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jim Pang's specialized field of practice is Geriatric Psychiatry, and the corresponding taxonomy code that categorizes this area of specialization is 2084P0805X.
On what date was the 1780690230 assigned to Jim Pang?
The Jim Pang was issued its 1780690230 on 2006-08-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Jim Pang, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jim Pang, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-02-09.
NPI Number: 1952305765
Address: 30055 Northwestern Hwy Ste 260, Farmington Hills, MI