Provider Demographics
NPI:1932310034
Name:LOG, KARNG S (DO)
Entity Type:Individual
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First Name:KARNG
Middle Name:S
Last Name:LOG
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Gender:M
Credentials:DO
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Mailing Address - Street 1:7780 S BROADWAY
Mailing Address - Street 2:SUITE 380
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80122-2648
Mailing Address - Country:US
Mailing Address - Phone:303-734-2090
Mailing Address - Fax:303-734-2095
Practice Address - Street 1:7780 S BROADWAY
Practice Address - Street 2:SUITE 380
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80122-2648
Practice Address - Country:US
Practice Address - Phone:303-734-2090
Practice Address - Fax:303-734-2095
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2014-10-21
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Provider Licenses
StateLicense IDTaxonomies
MI5101016452207RH0003X
CO50124207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology