WON CHAE M D P C NPI 1124327614

NPI Information

NPI: 1124327614
Provider Name: WON CHAE M D P C

Doing Business As: FARMBROOK RADIOLOGY ASSOCIATES

Classification: Radiology - 2085U0001X
Entity Type: Organization

Specialization: Diagnostic Ultrasound

Address:
461 W HURON ST
PONTIAC, MI
ZIP 48341
Phone: (248) 857-7515
Get Directions

WON CHAE M D P C is a diagnostic ultrasound radiology in Pontiac, MI. The provider is a Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound. WON CHAE M D P C NPI is 1124327614. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Farmbrook Radiology Associates.

The provider's business location address is:

461 W HURON ST
PONTIAC, MI
ZIP 48341-601
Phone: (248) 857-7515

The provider's authorized official is Won B Chae .
The authorized official title is President and has the following contact phone number (734) 677-7400.

The enumeration date for this NPI number is 3/23/2011 and was last updated on 5/17/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0204X	Radiology	Vascular & Interventional Radiology			No
2	2085U0001X	Radiology	Diagnostic Ultrasound			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0M38520	MEDICARE PIN	MICHIGAN
2	0F39535	OTHER	MICHIGAN	BCBS GROUP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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