Ngo, Khai

Ngo, Khai is an individual health care provider with primary practice located at 4600 Memorial Drive Suite 280, Belleville IL 62276-5366. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Ngo, Khai can be contacted via phone (618) 257-2800.

Contact Information

Primary practice address
4600 Memorial Drive Suite 280 Belleville IL 62276-5366
Fax: (618) 257-9802
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036079985 Illinois

Profile Details

NPI number 1205905197
LBN Legal business name Ngo, Khai
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2006
Last updated Jul 8th, 2007 - about 18 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 1205905197 NPPES
Illinois MEDICAID 036079985

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