Individual ProviderJoseph BahngObstetrics & GynecologyAllopathic & Osteopathic PhysiciansPractice Address2150 Pennsylvania Ave NW, Washington, DC 20037-3201(202) 741-2500(404) 251-8812PECOS EnrollmentBased on the most recent information from CMS, provider Joseph Bahng is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1336645290Provider TypeIndividualFull NameBahng, JosephGenderMaleSole ProprietorNoEnumeration Date3/31/2018Last Updated7/19/2022Contact InformationPractice LocationPractice Address2150 Pennsylvania Ave NW, Washington, DC 20037-3201Phone(202) 741-2500Fax(202) 741-2550Mailing LocationMailing Address69 Jesse Hill Jr Drive SE, Glenn Building, 4th Floor - 412b, Atlanta, GA 30303Phone(404) 251-8812FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207V00000XPrimaryDescriptionObstetrics & GynecologyAllopathic & Osteopathic PhysiciansLicenseMD210002583District of ColumbiaCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer