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
Phone: (602) 843-5455
Fax: (602) 843-8426
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1023002946 | NPPES |
Arizona | MEDICAID | 756249 |
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