Provider Demographics
NPI:1720212673
Name:KANG, PARMINDER S (MD)
Entity Type:Individual
Prefix:
First Name:PARMINDER
Middle Name:S
Last Name:KANG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2800 E DESERT INN RD
Mailing Address - Street 2:#100
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89121-3608
Mailing Address - Country:US
Mailing Address - Phone:702-731-1616
Mailing Address - Fax:702-734-4900
Practice Address - Street 1:2800 E DESERT INN RD
Practice Address - Street 2:#100
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89121-3608
Practice Address - Country:US
Practice Address - Phone:702-731-1616
Practice Address - Fax:702-734-4900
Is Sole Proprietor?:No
Enumeration Date:2009-05-06
Last Update Date:2018-10-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO2010008303207XS0114X
NV14262207XS0114X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1720212673Medicaid
NV1720212673Medicaid