Lee, Sang Gang
Lee, Sang Gang is an individual health care provider with primary practice located at 615 S 32Nd St , Muskogee OK 74401. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Lee, Sang Gang can be contacted via phone (918) 687-3994.Contact Information
Primary practice address
615 S 32Nd St
Muskogee OK 74401
Phone: (918) 687-3994
Fax: (918) 687-1809
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 16383 | Oklahoma |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 16383 | Oklahoma |
Profile Details
| NPI number | 1023059029 |
|---|---|
| LBN Legal business name | Lee, Sang Gang |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2006 |
| Last updated | Apr 23rd, 2014 - about 12 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 | 1023059029 | NPPES |
| Oklahoma | MEDICAID | 100210940A | |
| Oklahoma | Other | 110113959 |
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