Edward Park Kang in Atlanta - Vascular Surgery
Edward Park Kang - NPI 1154504082
Edward Park Kang is a Vascular Surgery in Atlanta, Georgia. Edward Park Kang practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Edward Park Kang is 1154504082. The last update date is 2021-04-27.
Edward Park Kang's current location address is 980 Johnson Fy Rd Ne, Atlanta, Georgia. You can contact this provider via phone number 7702923496 and fax number 4043002317. The mailing address for Edward Park Kang is 980 Johnson Fy Rd Ne, Atlanta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edward Park Kang |
|---|---|
| Address | 980 Johnson Fy Rd Ne, Atlanta, Georgia |
| Phone Number | 7702923496 |
| Fax Number | 4043002317 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1154504082 |
|---|---|
| Provider Enumeration Date | 2007-12-13 |
| Last Updated Date | 2021-04-27 |
Provider Mailing Address Detail
| Address | 980 Johnson Fy Rd Ne |
|---|---|
| City | Atlanta |
| State | Georgia (GA) |
| Post Code | 303421626 |
| Phone Number | 7702923496 |
| Fax Number | 4043002317 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | 54147 |
|
Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 003135923B | GA | -- | |
| 003135923A | GA | -- | |
| 003135923D | GA | -- |
Post Comment/ Review Below
What is the Edward Park Kang's unique identification number?
The Edward Park Kang has been assigned the NPI (National Provider Identifier) Number 1154504082 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Edward Park Kang is physically located?
The Edward Park Kang is physically situated at the following address: 980 Johnson Fy Rd Ne, Atlanta, GA, 303421626.
What is the Edward Park Kang's area of specialization and corresponding taxonomy classification?
The Edward Park Kang's specialty field is Vascular Surgery, and it falls under the taxonomy code 2086S0129X, which categorizes healthcare providers based on their specialties.
On what date did the Edward Park Kang receive the assignment of its 1154504082 from the Centers for Medicare & Medicaid Services?
The Edward Park Kang was issued its 1154504082 by the Centers for Medicare & Medicaid Services on 2007-12-13.
When was the information regarding Edward Park Kang, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Edward Park Kang, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-04-27.