Ku, Estrelita Ong

Ku, Estrelita Ong is an sole proprietor health care provider with primary practice located at 109 Southfield Rd Apt. # 26, Shreveport LA 71105-3700. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Ku, Estrelita Ong can be contacted via phone (318) 861-0061.

Contact Information

Primary practice address
109 Southfield Rd Apt. # 26 Shreveport LA 71105-3700
Phone: (318) 861-0061
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD199977 Louisiana
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X MD199977 Louisiana

Profile Details

NPI number 1235280587
LBN Legal business name Ku, Estrelita Ong
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 15th, 2007
Last updated Jul 8th, 2007 - about 19 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 1235280587 NPPES
Maryland MEDICAID 55141

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