Dr. Mitchell Dongjun Imm
M.D. | Pediatric Neonatal-Perinatal Medicine | Male
Dr. Mitchell Dongjun Imm, M.D. is a Austin, Texas based Pediatric doctor with medical specialization in
Pediatric Neonatal-Perinatal Medicine.
Current practice location of Dr. Mitchell Dongjun Imm is
10647 Bramblecrest Dr, Austin, Texas - 78726-1906. He can be contacted on phone at
512-906-1974.
Dr. Mitchell Dongjun Imm is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Mitchell Dongjun Imm is
1790731230 which was assigned by NPPES on 26 May, 2006 and it was last updated on 02 Sep, 2008.
Dr. Mitchell Dongjun Imm license number is
200200707 for Pediatrics Neonatal-Perinatal Medicine (2080N0001X) in North Carolina.
Dr. Mitchell Dongjun Imm is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Complete Profile:
Dr. Mitchell Dongjun Imm basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Neonatal-Perinatal Medicine |
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| Provider Name : | Dr. Mitchell Dongjun Imm |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Dr. Mitchell Dongjun Imm address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 10647 Bramblecrest Dr
Austin, TX, 78726-1906
United States |
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| Phone Number : | 512-906-1974 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1790731230 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 26 May, 2006 |
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| Last Updated On : | 02 Sep, 2008 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Mitchell Dongjun Imm are as mentioned. Primary taxonomy code for Dr. Mitchell Dongjun Imm, M.D. is
2080N0001X (Pediatrics Neonatal-Perinatal Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 200200707 | NC |
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | Yes | 200200707 | NC |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Mitchell Dongjun Imm such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 7355461 | Other | NC | AETNA |
| 131UT | Other | NC | BCBS NC |
| 89131UT | MEDICAID | NC | |
| D8866 | Other | NC | MEDCOST |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 10647 Bramblecrest Dr
Austin, TX, 78726-1906
United States |
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| Phone Number : | 512-906-1974 |
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Business Location:
Patients can refer following map for directions to
Dr. Mitchell Dongjun Imm practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.