DAVID H SONG (NPI# 1174619100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174619100 |
| Entity Type | Individual |
| Full Name | DAVID H SONG |
| Credential | MD FACE |
| Practice Address |
1468 Montreal Road Tucker GA 30084-6902 |
| Practice Telephone | 7706381400 |
| Practice Fax Number | 7706381411 |
| Mailing Telephone | 7706381400 |
| Mailing Fax Number | 7706381411 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2010-02-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
045340 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 0078548513 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699115972 | David Song | Urology | 5365 Walnut Ave Ste A, Chino, CA 91710-2622 | 2013-07-01 |
| 1023622172 | David Song | Pharmacist | 4037 Durham Chapel Hill Blvd, Durham, NC 27707-2516 | 2020-09-06 |
| 1780211888 | David S Song | Student in an Organized Health Care Education/Training Program | 7901 Broadway Rm A1-16, Elmhurst, NY 11373-1329 | 2020-03-26 |
| 1932553013 | David Day Song | Student in an Organized Health Care Education/Training Program | 150 Bergen St # Uh-i248, Newark, NJ 07103-2496 | 2016-04-14 |
| 1114237260 | David Song | Nurse Anesthetist, Certified Registered | 12605 E 16th Ave, University of Colorado Hospital, Aurora, CO 80045-2545 | 2010-10-07 |
| 1851500268 | David J Song | Dentist | 751 Chestnut St, Suite 201, Birmingham, MI 48009-6461 | 2007-05-22 |
| 1043375884 | David H Song | Surgery | 3800 Reservoir Rd Nw, Phc Building, First Floor, Washington, DC 20007-2113 | 2006-12-22 |
| 1518078039 | David Inkun Song | Podiatrist | 4085 Mallory Ln, Suite 106, Franklin, TN 37067-8290 | 2006-08-31 |
| 1679599765 | David D Song | Psychiatry & Neurology | 9500 Gilman Dr, Mail Code 9127, La Jolla, CA 92093-5004 | 2006-07-14 |
| Street Address |
1468 MONTREAL ROAD |
| City | TUCKER |
| State | GA |
| Zip Code | 30084-6902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366436297 | David D Suh | Internal Medicine | 1468 Montreal Road, Tucker, GA 30084-6902 | 2005-09-07 |
| 1093801029 | Sandeep Chandra | Internal Medicine | 1468 Montreal Road, Tucker, GA 30084-6902 | 2006-10-05 |
| 1306949854 | Linda Gin Yan | Internal Medicine | 1468 Montreal Road, Tucker, GA 30084-6902 | 2006-09-07 |
| 1427021310 | Osman Ahmed | Internal Medicine | 1468 Montreal Road, Tucker, GA 30084 | 2006-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609401355 | Excellent Medical Transport | Ambulance | 4378 Sentry Dr, Tucker, GA 30084 | 2020-03-03 |
| 1811468796 | Caleb Lee Ebbets | Physical Therapist | 1459 Montreal Road, Medical Office Building, Suite 301, Tucker, GA 30084 | 2018-12-17 |
| 1417436130 | Benjamin Han Wook Chong | Physical Therapist | 1460 Montreal Road East, Suite 300, Tucker, GA 30084 | 2018-08-13 |
| 1336659325 | Lavista Acupuncture and Herbal Medicine | Acupuncturist | 4915 Lavista Rd, Tucker, GA 30084 | 2017-10-04 |
| 1699294207 | Debrica Butler | Counselor | 1021 Oak Chase Dr., Apt C, Tucker, GA 30084 | 2017-09-14 |
| 1295264695 | Jolanta Wazgowska Hopkins | Social Worker | 4404 Idlewood Lane, Tucker, GA 30084 | 2017-06-08 |
| 1164956157 | Sage Dental Group of Georgia LLC | Dentist | 4320 Lavista Rd, Suite C119, Tucker, GA 30084 | 2017-04-17 |
| 1689107807 | Mashail Manzur | Podiatrist | 1460 Montreal Rd E, Ste 275, Tucker, GA 30084 | 2017-04-05 |
| 1053765578 | Jessica Spruyt | Speech-Language Pathologist | 3756 Lavista Rd Suite 104, Tucker, GA 30084 | 2016-04-21 |
| 1265802318 | Spine and Orthopedics of Atlanta, LLC | Clinic/Center | 1462 Montreal Rd Ste 218, Tucker, GA 30084 | 2015-10-01 |
| Find all providers in zip 30084 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093801029 | Sandeep Chandra | Internal Medicine | 1468 Montreal Road, Tucker, GA 30084-6902 | 2006-10-05 |
| 1891881827 | Atlanta Heart Specialists LLC | Internal Medicine | 1468 Montreal Rd, Tucker, GA 30084-6901 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669019394 | Champ Vascular, LLC | Internal Medicine | 1825 Highway 34 E Ste 3400, Newnan, GA 30265-6423 | 2019-12-02 |
| 1174006159 | Kendall M Griffith Md LLC | Internal Medicine | 1497 Fair Rd Ste 311, Statesboro, GA 30458-0828 | 2018-09-14 |
| 1558869826 | Coordinated Health of Ga, LLC | Internal Medicine | 10 Glenlake Pkwy Ste 130c, Atlanta, GA 30328-3495 | 2018-01-31 |
| 1447559604 | David Brendan Casey | Internal Medicine | 1700 Tree Ln Ste 100, Snellville, GA 30078-6749 | 2011-03-26 |
| 1730404120 | Deepali Nivas Tukaye | Internal Medicine | 1505 Northside Blvd Ste 3400, Cumming, GA 30041-8223 | 2010-03-29 |
| 1659560647 | Oduwole Organization Inc | Internal Medicine | 1415 Highway 85 N Ste 310-296, Fayetteville, GA 30214-7738 | 2007-10-16 |
| 1053487462 | Tiftarea Cardiology | Internal Medicine | 907 E. 18th St, Ste 100, Tifton, GA 31794 | 2006-11-28 |
| 1255412094 | Jeetendra B Patel | Internal Medicine | 1301 Sigman Rd Ne Ste 200, Conyers, GA 30012 | 2006-10-18 |
| 1811082605 | Cardiac Disease Specialists, PC | Internal Medicine | 296 Merchants Sq, Dallas, GA 30132-5029 | 2006-10-04 |
| 1770508756 | Hunt Dandridge Anderson | Internal Medicine | 4500 Hospital Blvd, Suite 230, Roswell, GA 30076-0003 | 2006-07-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.