Kang, Brandon Sang Joon
Kang, Brandon Sang Joon is an individual health care provider with primary practice located at 3620 Howell Ferry Rd , Duluth GA 30096-3178. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Kang, Brandon Sang Joon can be contacted via phone (678) 312-2400.Contact Information
Primary practice address
3620 Howell Ferry Rd
Duluth GA 30096-3178
Phone: (678) 312-2400
Fax: (678) 312-6999
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 054764 | Georgia |
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 054764 | Georgia |
Profile Details
NPI number | 1871561803 |
---|---|
LBN Legal business name | Kang, Brandon Sang Joon |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 8th, 2006 |
Last updated | Apr 6th, 2022 - about 2 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 | 1871561803 | NPPES |
Georgia | MEDICAID | 149575161 | |
Georgia | Other | P00760856 |
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