Individual
DR. CHRISTOPHER C KANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10710 MEDLOCK BRIDGE RD, SUITE 150, JOHNS CREEK, GA 30097-1827
(770) 497-4188
(770) 497-4189
Mailing address
10710 MEDLOCK BRIDGE RD, SUITE # 150, JOHNS CREEK, GA 30097-1827
(770) 497-4188
(770) 497-4189
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036074653
IL
207R00000X
Internal Medicine Physician
Primary
39141
GA
207R00000X
Internal Medicine Physician
R5H54
MO
208M00000X
Hospitalist Physician
036074653
IL
208M00000X
Hospitalist Physician
39141
GA
208M00000X
Hospitalist Physician
R5H54
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036074653
—
IL
01
—
P00346630
RAILROAD MEDICARE
MO
Enumeration date
02/27/2006
Last updated
01/14/2015
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