DR OUEN PONGDEE MD PSC INC NPI 1700933611

NPI Information

  • NPI: 1700933611
  • Provider Name: DR OUEN PONGDEE MD PSC INC
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Address: 3600 W CUMBERLAND AVE
    MIDDLESBORO, KY
    ZIP 40965
  • Phone: (606) 242-1428

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NPI Details

DR OUEN PONGDEE MD PSC INC is a diagnostic radiology radiology in Middlesboro, KY. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR OUEN PONGDEE MD PSC INC NPI is 1700933611. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3600 W CUMBERLAND AVE
MIDDLESBORO, KY
ZIP 40965-614
Phone: (606) 242-1428

The provider's authorized official is Ouen Pongdee .
The authorized official title is Radiologist and has the following contact phone number (606) 248-1320.

The enumeration date for this NPI number is 1/4/2007 and was last updated on 1/28/2011.

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
12085R0202XRadiologyDiagnostic Radiology17332KENTUCKYYes

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
165905275MEDICAIDKENTUCKY
2C64625MEDICARE UPINKENTUCKY
32856MEDICARE PINKENTUCKY

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: 11/21/2025

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