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Individual
PENGXIN LIN
Active
Individual
PENGXIN LIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0058236
MD
208U00000X
Clinical Pharmacology Physician
D0058236
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12-06189
UNITED HEALTH CARE
MD
01
—
120631
JOHNS HOPKINS HEALTH CARE
MD
01
—
146804160
AMERIGROUP MEDICAID
MD
01
—
3543954
AETNA--HMO
MD
05
—
401615700
—
MD
01
—
618642-02
BC/BS MARYLAND
MD
01
—
653547
NCPPO
MD
01
—
7691425
AETNA STUDENT MC N
MD
01
—
7870575
AETNA-PPO
MD
01
—
8127281
MAMSI
MD
01
—
K143-0002
BC/BS DC AND FEDERAL
MD
01
—
P16571
BC/BS POS
MD
Enumeration date
10/24/2005
Last updated
11/22/2011
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