Provider Demographics
NPI:1962435495
Name:BANG, HOI
Entity type:Individual
Prefix:DR
First Name:HOI
Middle Name:
Last Name:BANG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 171181
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38187-1181
Mailing Address - Country:US
Mailing Address - Phone:901-682-2872
Mailing Address - Fax:
Practice Address - Street 1:6005 PARK AVE
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38119-5202
Practice Address - Country:US
Practice Address - Phone:901-682-2872
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-08
Last Update Date:2010-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD10125207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN2009386OtherBLUE CROSS
MS00017279OtherMISSISSIPPI MEDICAID
TN3165728Medicaid
TNB03285OtherHEALTHSPRINGS
TN000000130791OtherBETTER HEALTH
TN050051699OtherRAILROAD
TN6477OtherTLC
TN2040076OtherUNITED HEALTHCARE
TN000000130791OtherBETTER HEALTH
TNB03285OtherHEALTHSPRINGS