| Dr. Kim T. Pang, M.d.,p.a. | |
|
12113 New Hampshire Ave Silver Spring MD 20904-2868 | |
| (301) 384-3819 | |
| (301) 622-2309 |
| Full Name | Dr. Kim T. Pang, M.d.,p.a. |
|---|---|
| Speciality | General Practice |
| Location | 12113 New Hampshire Ave, Silver Spring, Maryland |
| Authorized Official Name and Position | Kim T. Pang (MEDICAL DOCTOR) |
| Authorized Official Contact | 3013843819 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Kim T. Pang, M.d.,p.a. 12113 New Hampshire Ave Silver Spring MD 20904-2868 Ph: (301) 384-3819 | Dr. Kim T. Pang, M.d.,p.a. 12113 New Hampshire Ave Silver Spring MD 20904-2868 Ph: (301) 384-3819 |
| NPI Number | 1689983751 |
|---|---|
| Provider Enumeration Date | 10/06/2010 |
| Last Update Date | 10/06/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689983751 | NPI | - | NPPES |
| 354151700 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | D0030394 (Maryland) | Primary |
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