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1528313368

NPI Code Detail

MEDICARE: MS. DORA NKUH NGWANG M.D.

MEDICARE: MS. DORA NKUH NGWANG 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
1	207LP3000X	Pediatric Anesthesiology Physician	83450	GA
2	207L00000X	Anesthesiology Physician	ME180646	FL
3	207L00000X	Anesthesiology Physician	35149	OK
4	207L00000X	Anesthesiology Physician	35.129283	OH
5	207L00000X	Anesthesiology Physician	83450	GA
6	207L00000X	Anesthesiology Physician	E-11829	AR
7	207LP3000X	Pediatric Anesthesiology Physician	35.129283	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528313368
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DORA NKUH NGWANG M.D.

Provider Business Mailing Address
First Line	:	3939 ROSWELL RD
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30062-6251
Country	:	US
Telephone Number	:	470-956-4529
Fax Number	:	770-563-0727

Provider Business Practice Location Address
First Line	:	2540 WINDY HILL RD SE
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30067-8605
Country	:	US
Telephone Number	:	770-644-1274
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2012
Last Update Date	:	05/08/2026

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Directions to “ MS. DORA NKUH NGWANG M.D.” Practice Location

Language	Start Address	Practice Location

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