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NPI Code Detail

MEDICARE: PHUONG T NGO MD

MEDICARE: PHUONG T NGO MD
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
1207R00000XInternal Medicine Physician27223OK
2207RC0000XCardiovascular Disease Physician27223OK

General Provider Information

NPI Number : 1710112297
Entity Type Code : Individual
Provider Name (Legal Business Name) : PHUONG T NGO MD
Provider Business Mailing Address
First Line : 1000 N LEE AVE
Second Line : ROOM 4404
City : OKLAHOMA CITY
State : OK
Zip : 73102-1036
Country : US
Telephone Number : 405-272-6406
Fax Number : 405-272-6075
Provider Business Practice Location Address
First Line : 1100 N LINDSAY AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73104-5410
Country : US
Telephone Number : 405-271-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2009
Last Update Date : 04/24/2024

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Directions to “ PHUONG T NGO MD” Practice Location

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