Organization
SOUTHLAND HOSPITALISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER KANG MD (MEDICAL DIRECTOR)
(636) 530-0800
Entity
Organization
Contact information
Practice address
1 MCBRIDE AND SON CENTER DR, SUITE 150, CHESTERFIELD, MO 63005-1425
(636) 530-0800
(636) 519-4081
Mailing address
1 MCBRIDE AND SON CENTER DR, SUITE 150, CHESTERFIELD, MO 63005-1425
(636) 530-0800
(636) 519-4081
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208M00000X
Hospitalist Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65946055
—
KY
01
—
DF4004
RAILROAD MEDICARE
—
Enumeration date
07/30/2006
Last updated
02/22/2010
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