Provider Demographics
NPI:1154340586
Name:SANG, NEW (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:NEW
Middle Name:
Last Name:SANG
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1122 S ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93721-1430
Mailing Address - Country:US
Mailing Address - Phone:559-268-1737
Mailing Address - Fax:559-268-1738
Practice Address - Street 1:1122 S ST
Practice Address - Street 2:SUITE 102
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93721-1430
Practice Address - Country:US
Practice Address - Phone:559-268-1737
Practice Address - Fax:559-268-1738
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2014-07-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA93522208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics