Dr. Kim T. Pang, M.D.,P.a.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

D0030394 Issued in MD

Legal business name

DR. KIM T. PANG, M.D.,P.A.

Practice address

12113 New Hampshire Ave
Silver Spring, MD 20904-2868

Phone

(301) 384-3819

Fax

(301) 622-2309

NPI assigned

Oct 6, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kim T. Pang, M.D.

Title

Medical Doctor

Phone

(301) 384-3819

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1286323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286323200000",
    "number": "1689983751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12113 NEW HAMPSHIRE AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209042868",
            "telephone_number": "301-384-3819",
            "fax_number": "301-622-2309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12113 NEW HAMPSHIRE AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209042868",
            "telephone_number": "301-384-3819",
            "fax_number": "301-622-2309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. KIM T. PANG, M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-06",
        "last_updated": "2010-10-06",
        "status": "A",
        "authorized_official_last_name": "PANG",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "301-384-3819",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "MD",
            "license": "D0030394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "354151700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dr. Gary a. Lieberman, P.a.
• Dr. Ghousia Sultana, M.D, P.a.
• Dr. Hon-Yuen Wong, Inc
• Dr. Isaac Adedara
• Dr. Jose Arroyo'S Family Dental
• Dr. Leonard Goldman, PA
• Dr. Martin L. Okun
• Dr. Mehdi Hasan DDS LLC
• Dr. Merlyn K. D. Vemury MD PC
• Dr. Nancy B. Lewis, P.a.

• All providers in Silver Spring, MD
• General Practice Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.