Dang, Komal K
Dang, Komal K is an sole proprietor health care provider with primary practice located at 3455 Wilkens Ave L 10, Baltimore MD 21229-5213. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Primary Care is her primary health care specialty. Dang, Komal K can be contacted via phone (410) 646-0555.Contact Information
Primary practice address
3455 Wilkens Ave L 10
Baltimore MD 21229-5213
Phone: (410) 646-0555
Fax: (410) 644-4484
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | D18362 | Maryland |
Ambulatory Health Care Facilities / Primary Care | 261QP2300X | D0018362 | Maryland |
Profile Details
NPI number | 1669443602 |
---|---|
LBN Legal business name | Dang, Komal K |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 28th, 2006 |
Last updated | Jun 25th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1669443602 | NPPES |
Maryland | MEDICAID | 257951100 |
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