Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 48735 | AZ |
N | 111NI0900X | Internist | 48735 | AZ |
N | 207RA0401X | Internist - Addiction Medicine | 48735 | AZ |
N | 208000000X | Pediatrician | 48735 | AZ |
NPI | 1952336885 |
---|---|
Provider Name | Dr. Aaron Min Kang |
First Address | Phoenix, AZ 85006-2749 |
Second Address | Phoenix, AZ 85006-2612 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2006 |
Last Update Date | 19/11/2018 |