Individual
JAMES KONG
Active
Individual
JAMES KONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
35086285
OH
207RI0011X
Interventional Cardiology Physician
Primary
35.086285
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000036445
ANTHEM
—
01
—
2504611
UNITED
—
05
—
2581353
—
OH
01
—
28010673200
WORKMANS COMP
—
05
—
64104912
—
KY
01
—
7625646
AETNA
—
Enumeration date
03/02/2006
Last updated
10/24/2020
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