Kang, Ian Konrad

Kang, Ian Konrad is an individual health care provider with primary practice located at 7777 Hennessy Blvd Suite 502, Baton Rouge LA 70808-4300. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Gastroenterology. Allopathic & Osteopathic Physicians / Pediatric Gastroenterology is his primary health care specialty. Kang, Ian Konrad can be contacted via phone (225) 765-2054.

Contact Information

Primary practice address
7777 Hennessy Blvd Suite 502 Baton Rouge LA 70808-4300
Phone: (225) 765-2054
Fax: (225) 765-3342
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036110845 Illinois
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X MD.203969 Louisiana

Profile Details

NPI number 1699856450
LBN Legal business name Kang, Ian Konrad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2006
Last updated Mar 3rd, 2011 - about 13 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 1699856450 NPPES
Louisiana MEDICAID 2113461

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