Organization
DR. KIM T. PANG, M.D.,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIM T. PANG M.D. (MEDICAL DOCTOR)
(301) 384-3819
Entity
Organization
Contact information
Practice address
12113 NEW HAMPSHIRE AVE, SILVER SPRING, MD 20904-2868
(301) 384-3819
(301) 622-2309
Mailing address
12113 NEW HAMPSHIRE AVE, SILVER SPRING, MD 20904-2868
(301) 384-3819
(301) 622-2309
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
D0030394
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
354151700
—
MD
Enumeration date
10/06/2010
Last updated
10/06/2010
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