Kang, Yoogoo
Kang, Yoogoo is an individual health care provider with primary practice located at 111 S 11Th St Suite 8490, Philadelphia PA 19107-4824. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Kang, Yoogoo can be contacted via phone (215) 955-6161.Contact Information
Primary practice address
111 S 11Th St Suite 8490
Philadelphia PA 19107-4824
Phone: (215) 955-6161
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | MD036674L | Pennsylvania |
Profile Details
| NPI number | 1740209659 |
|---|---|
| LBN Legal business name | Kang, Yoogoo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2006 |
| Last updated | Mar 13th, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740209659 | NPPES |
| Pennsylvania | MEDICAID | 0191205 | |
| Pennsylvania | MEDICAID | 000746358 |
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