DR. DAVID P FANG (NPI# 1952304107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952304107 |
| Entity Type | Individual |
| Full Name | DR. DAVID P FANG |
| Credential | MD |
| Practice Address |
1265 Union Ave Memphis TN 38104-3415 |
| Mailing Address |
7695 Poplar Pike Suite 101 Memphis TN 38138-5947 |
| Practice Telephone | 9017267358 |
| Mailing Telephone | 9016852696 |
| Mailing Fax Number | 9016829747 |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2016-08-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
36117 | TN | Allopathic & Osteopathic Physicians |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
17208 | MS | Allopathic & Osteopathic Physicians |
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
36117 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3896659 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639543648 | David Fang | Pharmacist | 333 W 25th Pl Apt F, Apt F, Chicago, IL 60616-4546 | 2015-11-15 |
| 1063697233 | David M Fang | General Acute Care Hospital | 2531 Chester Ave, Bakersfield, CA 93301-2012 | 2008-01-07 |
| 1194832063 | David Fang | Dentist | 9533 Southwest Fwy, Houston, TX 77074-1409 | 2006-08-24 |
| 1548254279 | David Fang | Surgery | 438 W Las Tunas Dr, San Gabriel, CA 91776-1216 | 2005-09-08 |
| 1912900606 | David Riss Fang | Dentist | 156 Lafayette St, Salem, MA 01970-4815 | 2005-05-27 |
| 1174670657 | David J Fang | Otolaryngology | 5255 E Stop 11 Rd, Suite 400, Indianapolis, IN 46237-6341 | 2007-01-05 |
| Street Address |
1265 UNION AVE |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38104-3415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467069369 | Melissa Madolyn Morgan | Nurse Practitioner | 1265 Union Ave, Memphis, TN 38104-3415 | 2020-09-25 |
| 1306459516 | Vladyslava Inman | Nurse Practitioner | 1265 Union Ave, Memphis, TN 38104-3415 | 2020-08-26 |
| 1073126553 | Katherine Ann Palo | Nurse Practitioner | 1265 Union Ave, Memphis, TN 38104-3415 | 2020-08-25 |
| 1194335729 | Britney Michelle Holton | Nurse Practitioner | 1265 Union Ave, Memphis, TN 38104-3415 | 2020-08-07 |
| 1568082394 | Joan Danelle Morris | Dietitian, Registered | 1265 Union Ave, 4th Floor, Shorb Tower, Memphis, TN 38104 | 2020-04-22 |
| 1255950648 | Liza Southerton | Dietitian, Registered | 1265 Union Ave, Memphis, TN 38104-3415 | 2020-04-15 |
| 1306465711 | Andrew Tutor | Student in an Organized Health Care Education/Training Program | 1265 Union Ave, Thomas Wing, 7th Floor, Rm 707, Memphis, TN 38104 | 2020-04-15 |
| 1275152761 | Jessica Galtelli | Dietitian, Registered | 1265 Union Ave, 612 Thomas, Nutrition Dept, Memphis, TN 38104 | 2020-04-14 |
| 1932728029 | Allison Elizabeth Bray | Dietitian, Registered | 1265 Union Ave, Memphis, TN 38104-3415 | 2020-04-09 |
| 1932738143 | Erika Whitney Gates Sanders | Registered Nurse | 1265 Union Ave, Memphis, TN 38104-3415 | 2020-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900367 | Christy White | Recreation Therapist | 1030 Jefferson Ave (rt117), Memphis, TN 38104 | 2020-10-19 |
| 1821615873 | Altiana Carter | Optometrist | 650 New York St, Memphis, Tn 38104, Memphis, TN 38104 | 2020-06-25 |
| 1952898413 | Family To Family Adult Care Service | Chore Provider | 1331 Union Ave Suite 1028, Mempnis, TN 38104 | 2018-04-19 |
| 1326544800 | Kimberly Vestoria Mcclinton | Nurse Practitioner | 2200 Union Ave 1, Memphis, TN 38104 | 2018-04-03 |
| 1649799339 | Benjamin Duhart Jr. | Pharmacist | 1265 Union Avenue- Methodist University Hospital, Ground Floor Pharmacy Administration, Memphis, TN 38104 | 2017-09-13 |
| 1134644982 | Amy Michelle Wise | Nurse Practitioner | 1325 Eastmoreland Ave Ste 500, Memphis, TN 38104 | 2017-08-13 |
| 1316468572 | Jinger Cathey | Social Worker | 1330 Jefferson Ave, Memphis, TN 38104 | 2017-06-28 |
| 1336669183 | Charma May Kavuncu | Social Worker | 1407 Union Ave Ste 1100, Memphis, TN 38104 | 2017-06-22 |
| 1003345398 | Angelica J Dennis | Nurse Practitioner | 1265 Union, Memphis, TN 38104 | 2017-06-08 |
| 1609302546 | Cheryl Beene | Nurse Practitioner | 1211 Union Ave Ste 475, Memphis, TN 38104 | 2017-05-11 |
| Find all providers in zip 38104 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487277042 | Via Institutes Pllc | Radiology | 8886 Classic Dr, Memphis, TN 38125-8839 | 2020-05-18 |
| 1144485418 | Vijaykumar Agrawal | Radiology | 865 Jefferson Avenue Department of Radiology, F150 Chandler, Memphis, TN 38163-0001 | 2008-07-25 |
| 1851865794 | Zeni Interventional Pllc | Radiology | 6126 Poplar Ave, Memphis, TN 38119-4710 | 2019-01-14 |
| 1972882207 | Vinod Govindaraj Maller | Radiology | 848 Adams Ave, Memphis, TN 38103-2816 | 2011-08-04 |
| 1285839043 | Vascular Access Center of Memphis LLC | Radiology | 1750 Madison Ave, Memphis, TN 38104-6492 | 2007-06-20 |
| 1851359475 | James Scott Williams | Radiology | 1910 Nonconnah Blvd, Suite 120, Memphis, TN 38132-2113 | 2006-05-03 |
| 1558329169 | Salil S Joshi | Radiology | 1910 Nonconnah Blvd, Suite 120, Memphis, TN 38132-2113 | 2006-05-03 |
| 1922065259 | Robert E Gold | Radiology | 1910 Nonconnah Blvd, Suite 120, Memphis, TN 38132-2113 | 2006-04-28 |
| 1336106681 | Jorge A Salazar | Radiology | 1910 Nonconnah Blvd, Suite 120, Memphis, TN 38132-2113 | 2006-04-28 |
| 1396737268 | Interventional Associates of Memphis, PC | Radiology | 66 N Pauline St, Suite 206, Memphis, TN 38105-5105 | 2005-08-17 |
| Find all providers in MEMPHIS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.