Mongkol Mong, M.D.P.C.

Internal Medicine Physician · Southgate, MI

Organization Active NPI

NPI number 1316079452

Practice location

15332 Fort St
Southgate, MI 48195-1304
Phone
(734) 285-2255
Fax
(734) 285-9044

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NPI record

NPI
1316079452
Entity type
Organization (Type 2)
Enumeration date
March 12, 2007
Last updated
August 22, 2020
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Internal Medicine Physician Primary 207R00000X MM032063 MI

Authorized official

Name
Dr. Mongkol Mongkolpradit, M.D.
Title
President
Phone
(734) 285-2255

About Mongkol Mong, M.D.P.C.

Mongkol Mong, M.D.P.C. is a healthcare organization registered in the NPI registry with the primary taxonomy Internal Medicine Physician (code 207R00000X). The practice location is 15332 Fort St, Southgate, MI 48195-1304. The NPI number 1316079452 was assigned on March 12, 2007 and the record was last updated on August 22, 2020.

Mongkol Mong, M.D.P.C. lists a license in the registry: #MM032063 (MI) for Internal Medicine Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Mongkol Mongkolpradit, M.D., President.

Frequently asked questions

What is the NPI number of Mongkol Mong, M.D.P.C.?

The NPI number is 1316079452.

What is the phone number of Mongkol Mong, M.D.P.C.?

The phone number listed for the practice location is (734) 285-2255.

Where is Mongkol Mong, M.D.P.C. located?

15332 Fort St, Southgate, MI 48195-1304.

What is the taxonomy code for Mongkol Mong, M.D.P.C.?

The primary taxonomy code is 207R00000X – Internal Medicine Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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