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NPI Code Detail

MEDICARE: MICHAEL H SONG MD LTD

MEDICARE: MICHAEL H SONG MD LTD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1204D00000XNeuromusculoskeletal Medicine & OMM Physician
2207LP2900XPain Medicine (Anesthesiology) Physician
32081P2900XPain Medicine (Physical Medicine & Rehabilitation) Physician
4208100000XPhysical Medicine & Rehabilitation Physician
5207T00000XNeurological Surgery Physician

General Provider Information

NPI Number : 1548154966
Entity Type Code : Organization
Provider Name (Legal Business Name) : MICHAEL H SONG MD LTD
Provider Business Mailing Address
First Line : PO BOX 19908
Second Line :
City : RENO
State : NV
Zip : 89511-2554
Country : US
Telephone Number : 775-284-8650
Fax Number :
Provider Business Practice Location Address
First Line : 5578 LONGLEY LN
Second Line :
City : RENO
State : NV
Zip : 89511-1825
Country : US
Telephone Number : 775-284-8650
Fax Number :
Authorized Official
Title or Position : MD/PRESIDENT
Name : MICHAEL H SONG
Credential : MD
Telephone Number : 775-323-6100
Provider Enumeration Date : 06/09/2025
Last Update Date : 02/04/2026

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