Pang, Jim

Pang, Jim is an sole proprietor health care provider with primary practice located at 65 Germantown Ct Ste 402 , Cordova TN 38018-7290. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Pang, Jim can be contacted via phone (901) 752-4900.

Contact Information

Primary practice address
65 Germantown Ct Ste 402 Cordova TN 38018-7290
Phone: (901) 752-4900
Fax: (901) 752-4902
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X C-5226 Arkansas
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 14059 Mississippi
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X 2006031057 Missouri
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 017659 Tennessee

Profile Details

NPI number 1780690230
LBN Legal business name Pang, Jim
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2006
Last updated Feb 9th, 2020 - about 5 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 1780690230 NPPES
Tennessee Other 0063427 BLUE CROSS PROVIDER NUMBE
Tennessee MEDICAID 00115350 BLUE CROSS PROVIDER NUMBE
Tennessee MEDICAID 02850722 BLUE CROSS PROVIDER NUMBE
Tennessee MEDICAID 207980814 BLUE CROSS PROVIDER NUMBE
Tennessee MEDICAID 3024414 BLUE CROSS PROVIDER NUMBE
Tennessee MEDICAID 127994001 BLUE CROSS PROVIDER NUMBE

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