Dang, Komal K

Dang, Komal K is an sole proprietor health care provider with primary practice located at 3455 Wilkens Ave L 10, Baltimore MD 21229-5213. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Primary Care is her primary health care specialty. Dang, Komal K can be contacted via phone (410) 646-0555.

Contact Information

Primary practice address
3455 Wilkens Ave L 10 Baltimore MD 21229-5213
Phone: (410) 646-0555
Fax: (410) 644-4484
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X D18362 Maryland
Ambulatory Health Care Facilities / Primary Care 261QP2300X D0018362 Maryland

Profile Details

NPI number 1669443602
LBN Legal business name Dang, Komal K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 28th, 2006
Last updated Jun 25th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669443602 NPPES
Maryland MEDICAID 257951100

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