Pang, John
Pang, John is an individual health care provider with primary practice located at 1541 Kings Hwy , Shreveport LA 71103-4228. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Pang, John can be contacted via phone (318) 626-0000.Contact Information
Primary practice address
1541 Kings Hwy
Shreveport LA 71103-4228
Phone: (318) 626-0000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | MD61029034 | Washington |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 328030 | Louisiana |
Profile Details
| NPI number | 1518237569 |
|---|---|
| LBN Legal business name | Pang, John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 9th, 2012 |
| Last updated | Sep 10th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518237569 | NPPES |
| Washington | MEDICAID | 1518237569 |
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