WON CHAE MD PC NPI 1700828969

NPI Information

NPI: 1700828969
Provider Name: WON CHAE MD PC

Doing Business As: FARMBROOK RADIOLOGY ASSOCIATES

Classification: Radiology - 2085U0001X
Entity Type: Organization

Specialization: Diagnostic Ultrasound

Address:
29829 TELEGRAPH RD
SUITE L103
SOUTHFIELD, MI
ZIP 48034
Phone: (248) 352-9525
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WON CHAE MD PC is a diagnostic ultrasound radiology in Southfield, MI. The provider is a Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound. WON CHAE MD PC NPI is 1700828969. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Farmbrook Radiology Associates.

The provider's business location address is:

29829 TELEGRAPH RD
SUITE L103
SOUTHFIELD, MI
ZIP 48034-376
Phone: (248) 352-9525
Fax: (248) 357-2959

The provider's authorized official is Vicky Rourke .
The authorized official title is Credentialing Billing and has the following contact phone number (248) 352-9525.

The enumeration date for this NPI number is 6/12/2006 and was last updated on 11/21/2012.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	00	MICHIGAN	No
2	2085R0204X	Radiology	Vascular & Interventional Radiology	00	MICHIGAN	No
3	2085N0904X	Radiology	Nuclear Radiology	00	MICHIGAN	No
4	261QR0206X	Clinic/Center	Radiology, Mammography		MICHIGAN	No
5	2085U0001X	Radiology	Diagnostic Ultrasound	00	MICHIGAN	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	506377	OTHER	MICHIGAN	CARE CHOICES GROUP PIN
2	RA630034	OTHER	MICHIGAN	MCARE GROUP PIN
3	1007775-001	OTHER	MICHIGAN	WELLNESS PLAN GROUP PIN
4	5006540	OTHER	MICHIGAN	AETNA GROUP PIN
5	QMXPR0014590	OTHER	MICHIGAN	MOLINA
6	0P00030	MEDICARE PIN	MICHIGAN
7	132484	OTHER	MICHIGAN	GREAT LAKE HEALTH PLAN
8	0M38520	MEDICARE PIN	MICHIGAN
9	OF372090	OTHER	MICHIGAN	BLUE SHIELD GROUP PIN
10	0N91750	MEDICARE PIN	MICHIGAN
11	5101	OTHER	MICHIGAN	CAPE HEALTH PLAN GROUP

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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