National Provider Identifier Database

EDWARD P KANG, MD – NPI #1154504082
Vascular Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.


Contact Information

EDWARD P KANG, MD
460 NORTHSIDE CHEROKEE BLVD STE 100
CANTON, GA30115-8017
Phone: 770-292-3490
Fax: 770-721-5615
Website:
Specialty Taxonomy Code
* Vascular Surgery 2086S0129X
Surgery 208600000X

* Indicates primary specialty

NPI Profile & details for EDWARD P KANG

NPI Number 1154504082
Credentials MD
Entity Individual
Enumeration date 12/13/2007
Last updated 04/27/2021 - About 5 years ago
Sole proprietor1 No
Identifiers
  • GA License #: 70309
  • MI License #: 4301086626
  • MN License #: 54147
  • GA Medicaid: 003135923A
  • GA Medicaid: 003135923B
  • GA Medicaid: 003135923D
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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