Provider Demographics
NPI:1891010849
Name:KANG, ARNOLD (MD)
Entity Type:Individual
Prefix:DR
First Name:ARNOLD
Middle Name:
Last Name:KANG
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 1:3 TECHNOLOGY PLACE
Mailing Address - Street 2:
Mailing Address - City:SYDNEY
Mailing Address - State:NSW
Mailing Address - Zip Code:2109
Mailing Address - Country:AU
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3 TECHNOLOGY PLACE
Practice Address - Street 2:
Practice Address - City:SYDNEY
Practice Address - State:NSW
Practice Address - Zip Code:2109
Practice Address - Country:AU
Practice Address - Phone:029-430-1100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-01
Last Update Date:2014-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD60288262085N0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiology