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DR. MONGKOL MONGKOLPRADIT M.D.
NPI 1366435075
Internal Medicine in Southgate, MI

Active since August 27, 2005
15332 FORT ST, SOUTHGATE, MI 48195(734) 285-2255 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mongkol Mongkolpradit M.d. NPPES

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

DR. MONGKOL MONGKOLPRADIT M.D. (NPI 1366435075) is an individual internal medicine provider in Southgate, Michigan, licensed in Michigan (MM032063) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1366435075
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MONGKOL MONGKOLPRADITCredential: M.D.
Location Address15332 FORT STSouthgate, MI 48195-1304
Mailing Address15332 Fort StSouthgate, MI 48195-1304 · (734) 285-2255
Phone(734) 285-2255
Sole ProprietorNo
Enumeration DateAugust 27, 2005
Last NPPES UpdateJuly 9, 2007
✔ NPI 1366435075 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 Names 1

Professional Name (2)Dr. Mongkol Mong M.d.

Other Identifiers 2

Medicare UPINB45035MI
Medicare ID-Type Unspecified0828033MI · Medicare

Other Providers at the Same Location NPPES

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

MONGKOL MONG, M.D.P.C.
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 Mongkolpradit's NPI number?

The NPI number for Mongkol Mongkolpradit is 1366435075. It was assigned to this individual provider in the NPPES registry on August 27, 2005. The provider is also known as Dr. Mongkol Mong M.D..

Where is Mongkol Mongkolpradit located?

Mongkol Mongkolpradit practices at 15332 Fort St, Southgate, MI 48195. The listed phone number is (734) 285-2255.

What is Mongkol Mongkolpradit'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 Mongkolpradit was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.