Fang, David P
Fang, David P is an individual health care provider with primary practice located at 6401 Poplar Ave Ste 505 , Memphis TN 38119-4808. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Fang, David P can be contacted via phone (901) 685-2696.Contact Information
Primary practice address
6401 Poplar Ave Ste 505
Memphis TN 38119-4808
Phone: (901) 685-2696
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 36117 | Tennessee |
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 17208 | Mississippi |
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 36117 | Tennessee |
Profile Details
NPI number | 1952304107 |
---|---|
LBN Legal business name | Fang, David P |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 23rd, 2005 |
Last updated | Nov 17th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1952304107 | NPPES |
Tennessee | MEDICAID | 3896659 |
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