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YONG D SONG MD INC NPI 1154475135


NPI Information

NPI: 1154475135
Provider Name: YONG D SONG MD INC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
1611 27TH ST
BUILDING J SUITE 204
PORTSMOUTH, OH
ZIP 45662
Phone: (740) 353-3196
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YONG D SONG MD INC is an obstetrics gynecology in Portsmouth, OH. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. YONG D SONG MD INC NPI is 1154475135. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1611 27TH ST
BUILDING J SUITE 204
PORTSMOUTH, OH
ZIP 45662
Phone: (740) 353-3196
Fax: (740) 353-1258

The provider's authorized official is Lucia M Song .
The authorized official title is Office Manager and has the following contact phone number (740) 353-3196.

The enumeration date for this NPI number is 1/23/2007 and was last updated on 6/23/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & Gynecology36581OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A746223MEDICARE UPIN
20223949MEDICAIDOHIO
30395681MEDICARE ID-TYPE UNSPECIFIED
464735285OTHERKENTUCKYKMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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