Pang, Herman

Pang, Herman is an individual health care provider with primary practice located at 26224 N. Tatum Blvd. Suite #11 , Phoenix AZ 85050. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Pang, Herman can be contacted via phone (480) 661-4761.

Contact Information

Primary practice address
26224 N. Tatum Blvd. Suite #11 Phoenix AZ 85050
Fax: (480) 661-3990
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 24944 Arizona

Profile Details

NPI number 1780688135
LBN Legal business name Pang, Herman
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Jun 10th, 2024 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780688135 NPPES
Arizona MEDICAID 372433
Arizona Other Z24030

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