Kang, Mandip S

Kang, Mandip S is an individual health care provider with primary practice located at 7362 W. Thunderbird Road , Peoria AZ 85381. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Kang, Mandip S can be contacted via phone (602) 843-5455.

Contact Information

Primary practice address
7362 W. Thunderbird Road Peoria AZ 85381
Fax: (602) 843-8426
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 29786 Arizona

Profile Details

NPI number 1023002946
LBN Legal business name Kang, Mandip S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2005
Last updated Oct 11th, 2012 - 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 1023002946 NPPES
Arizona MEDICAID 756249

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