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MONGKOL MONG, M.D.P.C.
NPI 1316079452
Internal Medicine in Southgate, MI

Active since March 12, 2007
15332 FORT ST, SOUTHGATE, MI 48195(734) 285-2255(734) 285-9044 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mongkol Mong, M.d.p.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MONGKOL MONG, M.D.P.C. (NPI 1316079452) is a healthcare organization registered as an internal medicine in Southgate, Michigan and active in the NPI registry since March 2007. The organization lists Mongkol Mongkolpradit, President, as its authorized official.

NPPES Registry Identity

NPI1316079452
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMONGKOL MONG, M.D.P.C.
Location Address15332 FORT STSouthgate, MI 48195-1304
Mailing Address15332 Fort StSouthgate, MI 48195-1304 · (734) 285-2255 · Fax (734) 285-9044
Phone(734) 285-2255
Fax(734) 285-9044
Organization SubpartNo
Authorized OfficialMongkol MongkolpraditPresident · (734) 285-2255
Enumeration DateMarch 12, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1316079452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · MM032063
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
15332 FORT ST, Southgate, MI 48195
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Other Identifiers 3

OtherMM032063MI · Medical License
Other0828033MI · Blue Cross Blue Shield
Medicaid1421722MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MONGKOL MONGKOLPRADIT M.D.
Internal Medicine
15332 FORT ST
SOUTHGATE, MI 48195
Wayne County (734) 285-2255

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mongkol Mong, M.D.P.C.'s NPI number?

The NPI number for Mongkol Mong, M.D.P.C. is 1316079452. It was assigned to this organization in the NPPES registry on March 12, 2007.

Where is Mongkol Mong, M.D.P.C. located?

Mongkol Mong, M.D.P.C. is located at 15332 Fort St, Southgate, MI 48195. The listed phone number is (734) 285-2255.

What is Mongkol Mong, M.D.P.C.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Mongkol Mong, M.D.P.C. was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.