| Young Suk Song, MD | |
|
1800 W Charleston Blvd, Las Vegas, NV 89102-2386 | |
| (702) 383-2000 | |
| Not Available |
| Full Name | Young Suk Song |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 20 Years |
| Location | 1800 W Charleston Blvd, Las Vegas, Nevada |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013113026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | A115719 (California) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 27575 (Nevada) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Long Beach Memorial Medical Center | Long beach, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Memorialcare Medical Foundation | 8729277314 | 450 |
| Radia Inc P S | 9931012812 | 263 |
| Entity Name | Memorialcare Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205167350 PECOS PAC ID: 8729277314 Enrollment ID: O20110113000219 |
| Entity Name | Radia Inc P S |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932196607 PECOS PAC ID: 9931012812 Enrollment ID: O20190305000322 |
| Entity Name | Radia California Radiology Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740982032 PECOS PAC ID: 8921465998 Enrollment ID: O20230712002879 |
| Mailing Address | Practice Location Address |
|---|---|
| Young Suk Song, MD 1800 W Charleston Blvd, Las Vegas, NV 89102-2386 Ph: (702) 383-2000 | Young Suk Song, MD 1800 W Charleston Blvd, Las Vegas, NV 89102-2386 Ph: (702) 383-2000 |
Dr. Douglas Glen Larson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2020 Palomino Ln, #100, Las Vegas, NV 89106 Phone: 702-759-8600 | |
Saravanan Valliappan, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5495 S Rainbow Blvd Ste 101, Las Vegas, NV 89118 Phone: 702-477-0772 | |
Ho Viet Nguyen, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2950 S Maryland Pkwy, Las Vegas, NV 89109 Phone: 702-240-1215 Fax: 702-243-7531 | |
Yuanlong Zhao, MD Radiology Medicare: Medicare Enrolled Practice Location: 3100 N Tenaya Way Graduate Medical Education, Las Vegas, NV 89128 Phone: 404-915-2966 | |
Amir Kilani, DO Radiology Medicare: Medicare Enrolled Practice Location: 3100 N Tenaya Way, Las Vegas, NV 89128 Phone: 702-962-5000 | |
Gorden Chu, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2950 S Maryland Pkwy, Las Vegas, NV 89109 Phone: 702-732-6000 Fax: 702-243-7531 |