| Lipu Kong, MD | |
| 1001 Towson Ave, Fort Smith, AR 72901-4921 | |
| (479) 441-4000 | |
| Not Available | 
| Full Name | Lipu Kong | 
|---|---|
| Gender | Male | 
| Speciality | Radiology - Diagnostic Radiology | 
| Location | 1001 Towson Ave, Fort Smith, Arkansas | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1770538175 | NPI | - | NPPES | 
| 1494852 | Medicaid | LA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | MD023398 (Louisiana) | Primary | 
| Entity Name | Radiology Services P A | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1154301786 PECOS PAC ID: 8527065804 Enrollment ID: O20080304000848 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Lipu Kong, MD Po Box 1983, Fort Smith, AR 72902-1983 Ph: (479) 452-9416 | Lipu Kong, MD 1001 Towson Ave, Fort Smith, AR 72901-4921 Ph: (479) 441-4000 | 
| Ismail Hamdan Ihmeidan, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1001 Towson Ave, Fort Smith, AR 72901 Phone: 479-441-4000 | |
| Leo Frances Drolshagen, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5707 Jenny Lind Rd, Fort Smith, AR 72908 Phone: 479-452-9414 Fax: 479-484-0827 | |
| David George Albers, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 310 Lexington Ave, Fort Smith, AR 72901 Phone: 479-494-0500 Fax: 479-494-0575 | |
| Zubin Nari Balsara, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5707 Jenny Lind Rd, Fort Smith, AR 72908 Phone: 479-452-9416 Fax: 479-484-0827 | |
| Samuel J Paglianite, MD Radiology Medicare: Medicare Enrolled Practice Location: 1001 Towson Ave, Fort Smith, AR 72901 Phone: 918-728-6145 | |
| David Dean Diment, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5707 Jenny Lind Rd, Fort Smith, AR 72908 Phone: 479-452-9416 Fax: 479-484-0827 | |
| William Thomas Huskison, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2322 S 57th St, Fort Smith, AR 72903 Phone: 479-452-9416 Fax: 479-484-0827 |