Individual
DR. PETER CHULHI KANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 ARCADE AVE STE 320, ELKHART, IN 46514-2477
(574) 523-7900
(574) 523-7909
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
(574) 647-3437
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01097329A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300117799
—
IN
Enumeration date
04/26/2016
Last updated
12/01/2025
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