Jan, Kung-Ming

Jan, Kung-Ming is an sole proprietor health care provider with primary practice located at 3050 Corlear Ave Suite 204, Bronx NY 10463-5180. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Jan, Kung-Ming can be contacted via phone (718) 601-4800.

Contact Information

Primary practice address
3050 Corlear Ave Suite 204 Bronx NY 10463-5180
Phone: (718) 601-4800
Fax: (718) 601-6102
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 122967 New York
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 122967 New York

Profile Details

NPI number 1699752261
LBN Legal business name Jan, Kung-Ming
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 27th, 2005
Last updated Sep 19th, 2012 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699752261 NPPES
New York MEDICAID 00592374

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