Ouen Pongdee, MD PSC INC is a 
Radiology - Diagnostic Radiology physician based in Middlesboro, Kentucky. Ouen Pongdee is licensed to practice in Kentucky (license number 17332) and his current practice location is 3600 W. Cumberland Ave, Middlesboro, Kentucky. He can be reached at his office (for appointments etc.) via phone at 
(606) 242-1428.
NPI number for Ouen Pongdee is 1154367043 and his current mailing address is Po Box 177, Middlesboro, Kentucky. He 
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1154367043.
			
			
			
			
			
		
		 
Physician's Profile
		
			
			
			| Full Name | Ouen Pongdee | 
|---|
| Gender | Male | 
|---|
| Speciality | Radiology - Diagnostic Radiology | 
|---|
| Location | 3600 W. Cumberland Ave, Middlesboro, Kentucky | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
|---|
			
			 
			
						  NPI Data:
			
			- NPI Number: 1154367043
- Provider Enumeration Date: 06/21/2006
- Last Update Date: 01/31/2011
 
		 
		 
Medical Identifiers
		Medical identifiers for Ouen Pongdee such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
|---|
		| 1154367043 | NPI | - | NPPES | 
| 64173321 | Medicaid | KY |  | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
|---|
		| 2085R0202X | Radiology - Diagnostic Radiology | 17332 (Kentucky) | Primary | 
		
		
			
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ouen Pongdee is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
|---|
		| Ouen Pongdee, MD PSC INC Po Box 177,
 Middlesboro, KY 40965-0177
 Ph: (606) 248-1320
 | Ouen Pongdee, MD PSC INC 3600 W. Cumberland Ave,
 Middlesboro, KY 40965-2614
 Ph: (606) 242-1428
 | 
		
		 
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