Gong, Robert Charles

Gong, Robert Charles is an individual health care provider with primary practice located at 2789 Sunridge Heights Pkwy Suite 100, Henderson NV 89052-5052. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Gong, Robert Charles can be contacted via phone (702) 614-0850.

Contact Information

Primary practice address
2789 Sunridge Heights Pkwy Suite 100 Henderson NV 89052-5052
Phone: (702) 614-0850
Fax: (702) 614-0798
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 7222 Nevada

Profile Details

NPI number 1265409601
LBN Legal business name Gong, Robert Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2006
Last updated Mar 26th, 2013 - about 11 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265409601 NPPES
Nevada MEDICAID 002019364

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