NPI Code Details Logo

NPI 1952833006

NPI 1952833006 : MICHAEL KONGNYUY MD : MCALLEN, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1952833006
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    MICHAEL KONGNYUY MD
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    03/29/2017
-----------------------------------------------------
    Last Update Date     |    06/04/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1200 E SAVANNAH AVE STE 18 
-----------------------------------------------------
    City                 |    MCALLEN
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    78503-1728
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    956-238-2853
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1200 E SAVANNAH AVE STE 18 
-----------------------------------------------------
    City                 |    MCALLEN
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    78503-1728
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    956-238-2853
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    208800000X
-----------------------------------------------------
    Taxonomy Name        |    Urology Physician
-----------------------------------------------------
    License Number       |    ME155624
-----------------------------------------------------
    License Number State |    FL
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    208800000X
-----------------------------------------------------
    Taxonomy Name        |    Urology Physician
-----------------------------------------------------
    License Number       |    V0782
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    208800000X
-----------------------------------------------------
    Taxonomy Name        |    Urology Physician
-----------------------------------------------------
    License Number       |    MD.37914
-----------------------------------------------------
    License Number State |    AL
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    208800000X
-----------------------------------------------------
    Taxonomy Name        |    Urology Physician
-----------------------------------------------------
    License Number       |    04-49422
-----------------------------------------------------
    License Number State |    KS
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
    Taxonomy Code        |    208800000X
-----------------------------------------------------
    Taxonomy Name        |    Urology Physician
-----------------------------------------------------
    License Number       |    4301511781
-----------------------------------------------------
    License Number State |    MI
-----------------------------------------------------
Taxonomy #6
-----------------------------------------------------
    Taxonomy Code        |    208800000X
-----------------------------------------------------
    Taxonomy Name        |    Urology Physician
-----------------------------------------------------
    License Number       |    MD2024-0588
-----------------------------------------------------
    License Number State |    NM
-----------------------------------------------------
Taxonomy #7
-----------------------------------------------------
    Taxonomy Code        |    208800000X
-----------------------------------------------------
    Taxonomy Name        |    Urology Physician
-----------------------------------------------------
    License Number       |    91702
-----------------------------------------------------
    License Number State |    SC
-----------------------------------------------------
Taxonomy #8
-----------------------------------------------------
    Taxonomy Code        |    208800000X
-----------------------------------------------------
    Taxonomy Name        |    Urology Physician
-----------------------------------------------------
    License Number       |    036.173592
-----------------------------------------------------
    License Number State |    IL
-----------------------------------------------------
Taxonomy #9
-----------------------------------------------------
    Taxonomy Code        |    208800000X
-----------------------------------------------------
    Taxonomy Name        |    Urology Physician
-----------------------------------------------------
    License Number       |    MD489767C
-----------------------------------------------------
    License Number State |    PA
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.