IndividualActive
Paul Gong, MD
NPI 1487180964 · Neurology with Special Qualifications in Child Neurology Physician · Louisville, KY
Provider details
- NPI number
- 1487180964
- Entity type
- Individual
- Primary specialty
- Neurology with Special Qualifications in Child Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
- Neurology with Special Qualifications in Child Neurology PhysicianPrimary2084N0402XLicense 59299 (KY)
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
3999 Dutchmans Ln Ste 5d
Louisville, KY 40207-4744
Phone: (502) 899-6782
Fax: (502) 540-7268
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 776351
Chicago, IL 60677-6351
Registry dates
- Enumerated
- 2017-05-03
- Last updated
- 2025-04-07
- Certified
- 2025-04-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.