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Individual

DR. DAVID P FANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6401 POPLAR AVE STE 505, MEMPHIS, TN 38119-4808
(901) 685-2696
Mailing address
6401 POPLAR AVE STE 220, MEMPHIS, TN 38119-4884
(901) 237-7698
(901) 682-9747

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
36117
TN
2085R0204X
Vascular & Interventional Radiology Physician
17208
MS
2085R0204X
Vascular & Interventional Radiology Physician
Primary
36117
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3896659
TN
Enumeration date
05/23/2005
Last updated
11/17/2023
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