Derek Patrick Gong M.D.

  • 1184671513 NPI Number
  • |
  • Actived: 13 years ago
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According to our database, NPI number for Derek Patrick Gong M.D. is 1184671513 and actived since Tuesday, May 30 2006. Derek Patrick Gong M.D. is an individual provider specializes in Internal Medicine, primary practice location is 16319 Third Street, Santa Rosa, CA 95409. You can also contact Derek Patrick Gong M.D. via telephone number is (707) 869-2849. Provider NPI information was last updated on 11/28/2007.

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Overview of Derek Patrick Gong M.D.

  • NPI number: 1033690128
  • Provider type: Individual
  • Specialty: Internal Medicine
  • Gender: Male
  • Active since: 05/30/2006
  • Last updated: 11/28/2007

Primary Scrop of Practice

  • Taxonomy Code: 207R00000X
  • Specialty: Internal Medicine
  • License Number: A66344
  • License State: CA

Provider Mailing Address

  • Address: 16319 Third Street
    Santa Rosa, CA 95446
  • Phone: 707-869-2849
  • Fax: 707-869-1477

Provider Practice Location

  • Address: 16319 Third Street
    Santa Rosa, CA 95409
  • Phone: 707-869-2849
  • Fax: 707-869-1477

Scope of Practice

  • Taxonomy Code: 207R00000X
  • Specialty: Internal Medicine
  • License Number: A66344
  • License State: CA
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 00A663440
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: CA
  • Issuer:

Question & Answers

What is the npi number?

  • Q: What is the npi number for Derek Patrick Gong M.D.?
  • A: The npi number for Derek Patrick Gong M.D. is 1184671513.
  • Q: What are Derek Patrick Gong M.D.'s specialties?
  • A: Derek Patrick Gong M.D.'s specialties are Internal Medicine and different specialities.
  • Q: What is the medical license for Derek Patrick Gong M.D.?
  • A: The medical license number for Derek Patrick Gong M.D. is A66344 and issued in CA in USA.
  • Q: Where is Derek Patrick Gong M.D. practice location?
  • A: Derek Patrick Gong M.D. is practicing at 16319 Third Street, Santa Rosa, CA 95409.
  • Q: How to contact Derek Patrick Gong M.D.?
  • A: You can contact Derek Patrick Gong M.D. via 707-869-2849.