| Doctor Name: | OUEN PONGDEE |
| NPI Number: | 1154367043 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD PSC INC |
| License Number: | 17332 |
| Business Practice Address: | 3600 W. Cumberland Ave Middlesboro, KY - 409652614 |
| Business Phone Number: | 6062421428 |
| Business Fax Number: | 6062481518 |
| Mailing Address: | Po Box 177, MIDDLESBORO |
| State: | KY |
| Postal Code: | 409650177 |
| Phone Number: | 6062481320 |
| Fax Number: | 6062481518 |
| NPI Enumeration Date: | 06/21/2006 |
| NPI Last Update Date: | 01/31/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | 17332 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |