Provider Demographics
NPI:1043281413
Name:LANG, AARON (MD)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:
Last Name:LANG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1723 BROADWAY ST
Mailing Address - Street 2:SUITE 315
Mailing Address - City:CAPE GIRARDEAU
Mailing Address - State:MO
Mailing Address - Zip Code:63701-4505
Mailing Address - Country:US
Mailing Address - Phone:573-332-0226
Mailing Address - Fax:573-332-0344
Practice Address - Street 1:1723 BROADWAY ST
Practice Address - Street 2:SUITE 315
Practice Address - City:CAPE GIRARDEAU
Practice Address - State:MO
Practice Address - Zip Code:63701-4505
Practice Address - Country:US
Practice Address - Phone:573-332-0226
Practice Address - Fax:573-332-0344
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-01
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO2004012760207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOF18236Medicare UPIN