Provider Demographics
NPI:1659365286
Name:ONG, GENE (MD)
Entity Type:Individual
Prefix:DR
First Name:GENE
Middle Name:
Last Name:ONG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:2545 S BRUCE ST STE 200
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89169-1778
Mailing Address - Country:US
Mailing Address - Phone:702-732-2438
Mailing Address - Fax:702-853-0096
Practice Address - Street 1:1581 MOUNT MARIAH DR STE 150
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89106-1506
Practice Address - Country:US
Practice Address - Phone:702-851-7766
Practice Address - Fax:702-851-7760
Is Sole Proprietor?:No
Enumeration Date:2005-09-09
Last Update Date:2021-04-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXL1150207RN0300X
NV12481207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1659365286Medicaid
TX157244801Medicaid
TX157244801Medicaid
TXH80924Medicare UPIN
NV1659365286Medicaid
NVV111856Medicare PIN