Provider Demographics
NPI:1497781900
Name:YING, KAN (MD)
Entity Type:Individual
Prefix:DR
First Name:KAN
Middle Name:
Last Name:YING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1820 PRESTON PARK BLVD
Mailing Address - Street 2:STE 1825
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-5215
Mailing Address - Country:US
Mailing Address - Phone:972-867-7862
Mailing Address - Fax:
Practice Address - Street 1:1820 PRESTON PARK BLVD STE 1825
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-5215
Practice Address - Country:US
Practice Address - Phone:972-867-7862
Practice Address - Fax:972-612-1623
Is Sole Proprietor?:No
Enumeration Date:2006-06-25
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD180302085R0202X
TXM37982085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP00336392OtherMEDICARE RAILROAD
TX181089701Medicaid
TXCS7910OtherMEDICARE RAILROAD GROUP
TX00J245OtherMEDICARE GROUP
TX8G7747Medicare PIN
TX083133101OtherMEDICAID GROUP
TX10060482OtherAMERIGROUP