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Individual

DR. SUAT CHENG GO FANG

Active
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Individual

DR. SUAT CHENG GO FANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
TX
302R00000X
Health Maintenance Organization
TX
305R00000X
Preferred Provider Organization
TX
305S00000X
Point of Service
Primary
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00BK52
BLUE CROSS BLUE SHIELD ID
TX
01
2315562
BLUE CROSS/ BLUE SHIELD
TX
Enumeration date
08/01/2006
Last updated
09/11/2025
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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