MEDICARE: DR. RICHARD PANG 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	207R00000X	Internal Medicine Physician	0101259966	VA
2	207R00000X	Internal Medicine Physician	DR.0061548	CO

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
3	C06778	OTHER	VA	GROUP PTAN

General Provider Information

NPI Number	:	1932195369
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD PANG M.D.

Provider Business Mailing Address
First Line	:	8155 PINEY RIVER AVE
Second Line	:	STE 100
City	:	LITTLETON
State	:	CO
Zip	:	80125-8729
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9475 S UNIVERSITY BLVD
Second Line	:
City	:	HIGHLANDS RANCH
State	:	CO
Zip	:	80126
Country	:	US
Telephone Number	:	720-733-5270
Fax Number	:

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

Provider Enumeration Date	:	09/21/2005
Last Update Date	:	02/06/2020

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Directions to “ DR. RICHARD PANG M.D.” Practice Location

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