DR. PHILIP PANG M.D. NPI 1053784827

NPI Information

  • NPI: 1053784827
  • Provider Name: DR. PHILIP PANG, M.D.
  • Classification: Student in an Organized Health Care Education/Training Program - 390200000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 333 CEDAR ST
    BOARDMAN 204
    NEW HAVEN, CT
    ZIP 06510
  • Phone: (475) 209-6868

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NPI Details

DR. Philip Pang, M.D. is a student in an organized health care education training program in New Haven, CT. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Philip Pang, M.D. NPI is 1053784827. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

333 CEDAR ST
BOARDMAN 204
NEW HAVEN, CT
ZIP 06510-206
Phone: (475) 209-6868

The NPI 1053784827 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/2/2015 and was last updated on 11/2/2015.

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
1390200000XStudent in an Organized Health Care Education/Training ProgramYes

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: 3/30/2025

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