Individual
KANG XIAAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3024 SNELLING AVE, MINNEAPOLIS, MN 55406-1911
(612) 775-4900
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
44293
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-11734
MEDICA
MN
01
—
169790
UCARE
MN
05
—
325794100
—
MN
01
—
51M28XI
BCBS
MN
01
—
HP35668
HEALTH PARTNERS
MN
01
—
NA9021033079
PREFERRED ONE
MN
Enumeration date
04/07/2006
Last updated
11/29/2011
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