Provider Demographics
NPI:1225006349
Name:ONG, STEVEN HUY (MD)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:HUY
Last Name:ONG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1261 TRAVIS BLVD
Mailing Address - Street 2:#150
Mailing Address - City:FAIRFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:94533-4897
Mailing Address - Country:US
Mailing Address - Phone:707-426-5407
Mailing Address - Fax:707-426-6376
Practice Address - Street 1:1261 TRAVIS BLVD
Practice Address - Street 2:#150
Practice Address - City:FAIRFIELD
Practice Address - State:CA
Practice Address - Zip Code:94533-4897
Practice Address - Country:US
Practice Address - Phone:707-426-5407
Practice Address - Fax:707-426-6376
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2016-02-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA90786207R00000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
A90786Medicare UPIN
CA00A907862Medicare PIN
CA00A907860Medicare ID - Type Unspecified