Provider Demographics
NPI:1689009813
Name:KAOHSIUNG CHANG GUNG MEMORIAL HOSPITAL
Entity Type:Organization
Organization Name:KAOHSIUNG CHANG GUNG MEMORIAL HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ATTENDING PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:TSUNG-HAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:8867-731-7123
Mailing Address - Street 1:NO.18, LN. 28, BAOYANG E. ST.
Mailing Address - Street 2:SANMIN DIST.
Mailing Address - City:KAOHSIUNG CITY
Mailing Address - State:TAIWAN
Mailing Address - Zip Code:80770
Mailing Address - Country:TW
Mailing Address - Phone:8867-780-8282
Mailing Address - Fax:
Practice Address - Street 1:DIVISION OF NEUROSURGERY
Practice Address - Street 2:NO.123, DAPI ROAD, NIAOSONG DISTRICT
Practice Address - City:KAOHSIUNG CITY
Practice Address - State:TAIWAN
Practice Address - Zip Code:83301
Practice Address - Country:TW
Practice Address - Phone:8867-731-7123
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-06
Last Update Date:2013-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital