Fang, David P

Fang, David P is an individual health care provider with primary practice located at 6401 Poplar Ave Ste 505 , Memphis TN 38119-4808. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Fang, David P can be contacted via phone (901) 685-2696.

Contact Information

Primary practice address
6401 Poplar Ave Ste 505 Memphis TN 38119-4808
Phone: (901) 685-2696
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 36117 Tennessee
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 17208 Mississippi
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 36117 Tennessee

Profile Details

NPI number 1952304107
LBN Legal business name Fang, David P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Nov 17th, 2023 - about 2 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 1952304107 NPPES
Tennessee MEDICAID 3896659

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