Individual
DR. CHARLES CHANSIK HONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
4650 S HAGADORN RD STE 600, EAST LANSING, MI 48823-5396
(517) 267-2460
(517) 267-2462
Mailing address
804 SERVICE RD STE A202, EAST LANSING, MI 48824-7015
(517) 353-4911
(517) 432-3928
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4301510421
MI
207RC0000X
Cardiovascular Disease Physician
MD41638
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2070651
—
MA
01
—
464483
TUFTS HEALTH PLAN
MA
01
—
J27281
BCBS MA
MA
Enumeration date
10/25/2005
Last updated
09/08/2023
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