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NPI Code Detail

MEDICARE: MARSHALL KONG M.D.

MEDICARE: MARSHALL KONG M.D.
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
12085R0202XDiagnostic Radiology Physician2025047025MO
22085R0202XDiagnostic Radiology Physician35123562OH
32085R0202XDiagnostic Radiology Physician036177493IL

General Provider Information

NPI Number : 1497916852
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARSHALL KONG M.D.
Provider Business Mailing Address
First Line : 3200 BURNET AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45229-3019
Country : US
Telephone Number : 513-585-5501
Fax Number :
Provider Business Practice Location Address
First Line : 234 GOODMAN ST
Second Line :
City : CINCINNATI
State : OH
Zip : 45219-2364
Country : US
Telephone Number : 513-584-2146
Fax Number : 513-584-0431
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2008
Last Update Date : 03/09/2026

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Directions to “ MARSHALL KONG M.D.” Practice Location

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