Active NPIIndividual provider

Dr. Zhaodi Gong, MD, PHD

Anesthesiology, Pain Medicine in Westport, Connecticut

NPI Number1194977603
Practice location
125 Kings Hwy N, Lower Level, Westport, CT 06880-2428
Fax
203-557-6688
Last updated
March 8, 2017

Zhaodi Gong is an Anesthesiology, Pain Medicine based in Westport, CT. Zhaodi Gong practices in Westport, CT and has the professional credentials of MD, PHD. The NPI Number for Zhaodi Gong is 1194977603 and holds a License No. 036139312 (IL). The current practice location address for Zhaodi Gong is 125 Kings Hwy N, Lower Level, Westport, CT 06880-2428 and can be reached out via phone at 203-557-3331 and via fax at 203-557-6688.

Provider Profile Details

NPI Number
1194977603
Provider Name
Zhaodi Gong
Credential
MD, PHD
Provider Entity Type
Individual
Gender
Female
Address
125 Kings Hwy N, Lower Level, Westport, CT 06880-2428
Phone Number
203-557-3331
Fax Number
203-557-6688
Primary Taxonomy
Anesthesiology, Pain Medicine · 207LP2900X
Sole Proprietor
No
Provider Enumeration Date
October 15, 2008
Last Update Date
March 8, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
125 Kings Hwy N
Lower Level
Westport, CT 06880-2428
Zip
06880-2428
Phone Number
203-557-3331
Fax Number
203-557-6688
Westport, CT 06880Get directions →

Provider Business Mailing Address Details

Address
30 Country Club Dr
Woodbridge, CT 06525-2510
City
Woodbridge
State
CT
Zip
06525-2510
Phone Number
203-557-3331
Fax Number
203-557-6688

License Information

License Number (1)
036139312
License State (1)
IL
Taxonomy (1)
Anesthesiology, Pain Medicine · 207LP2900X
License Number (2)
52543
License State (2)
CT
Taxonomy (2)
Anesthesiology, Pain Medicine · 207LP2900X · Primary
License Number (3)
131548
License State (3)
CA
Taxonomy (3)
Anesthesiology, Pain Medicine · 207LP2900X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Zhaodi Gong, MD, PHD?

The NPI number of Dr. Zhaodi Gong, MD, PHD is 1194977603. It was assigned on October 15, 2008 and is currently active in the NPPES registry.

What is the specialty of Dr. Zhaodi Gong, MD, PHD?

Dr. Zhaodi Gong, MD, PHD is registered under the primary taxonomy Anesthesiology, Pain Medicine (code 207LP2900X), licensed in IL under license number 036139312.

Where does Dr. Zhaodi Gong, MD, PHD practice?

The practice location is 125 Kings Hwy N, Lower Level, Westport, CT 06880-2428. The office can be reached at 203-557-3331 (phone) or 203-557-6688 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194977603 directly on the NPPES registry website.

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