Individual
MICHAEL CHI GONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 W 10TH AVE, COLUMBUS, OH 43210-1280
(614) 685-4263
(614) 685-4768
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 685-4263
(614) 685-4768
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
35.076686
OH
208800000X
Urology Physician
Primary
35076686
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2207730
—
OH
Enumeration date
05/09/2006
Last updated
05/14/2026
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