Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 0101259280 | VA |
N | 111NI0900X | Internist | 0101259280 | VA |
N | 207RH0000X | Hematologist | 0101259280 | VA |
N | 207RH0003X | Hematology & Oncology | 0101259280 | VA |
Y | 207RX0202X | Medical Oncology | 0101259280 | VA |
NPI | 1417260472 |
---|---|
Provider Name | Ghana Kang |
First Address | Baltimore, MD 21297-3174 |
Second Address | Fairfax, VA 22031-4867 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2010 |
Last Update Date | 01/09/2021 |