DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JAEHA SONG, DPM

Active Sole Proprietor

DR. JAEHA SONG, DPM is a Podiatrist healthcare provider located in TEMPE, Arizona. NPI 1700292877 is currently active in the NPPES registry. Verify at CMS.

Podiatrist · TEMPE, AZ

Registration Details

NPI Number
1700292877
Provider Type
Individual
Gender
Male
NPI Issued
Jul 9, 2014 (12.128185298032 yrs)
Last Updated
Apr 30, 2020
Licenses
SC006500 (PA)
65P97423 (NY)
POD-000896 (AZ)
Sole Proprietor
Yes

Practice Information

Address
2075 S COTTONWOOD DR
TEMPE, AZ, 852823040
Browse AZ providers · Browse ZIP 85282
Phone
4807180568
Primary Specialty
Podiatrist
213E00000X
Additional Specialty
General Acute Care Hospital
Additional Specialty
Podiatrist

Other Podiatrist Providers in TEMPE, AZ

Name Credential NPI
DR. DANIEL SAUNDERS DPM 1235118753
MARY C MASELLI DPM 1942270962
SUSAN YOUNG DPM 1972573640
DR. SONDEMA NKIPMO TARR DPM 1295260180
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.