Provider Demographics
NPI:1669470365
Name:KANG, JASBIR SINGH (MD)
Entity Type:Individual
Prefix:DR
First Name:JASBIR
Middle Name:SINGH
Last Name:KANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1648 BLACKBURN HEIGHTS DR
Mailing Address - Street 2:
Mailing Address - City:SEWICKLEY
Mailing Address - State:PA
Mailing Address - Zip Code:15143-8626
Mailing Address - Country:US
Mailing Address - Phone:412-741-0212
Mailing Address - Fax:412-741-0402
Practice Address - Street 1:1000 COMMERCE DR
Practice Address - Street 2:SUITE 1002
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15275-1011
Practice Address - Country:US
Practice Address - Phone:412-264-2155
Practice Address - Fax:412-264-1815
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD046147L2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
KA727403Medicare ID - Type UnspecifiedMEDICARE