Provider Demographics
NPI:1336452036
Name:BANG, HYUN J (MD)
Entity Type:Individual
Prefix:DR
First Name:HYUN
Middle Name:J
Last Name:BANG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5907 FRAZIER LN
Mailing Address - Street 2:
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22101-2406
Mailing Address - Country:US
Mailing Address - Phone:301-358-6070
Mailing Address - Fax:301-358-6111
Practice Address - Street 1:7704 MATAPEAKE BUSINESS DR STE 130
Practice Address - Street 2:
Practice Address - City:BRANDYWINE
Practice Address - State:MD
Practice Address - Zip Code:20613-3048
Practice Address - Country:US
Practice Address - Phone:301-358-6070
Practice Address - Fax:301-358-6111
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-22
Last Update Date:2019-01-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
DCMD0438632085R0202X, 2085R0204X
MDD00811742085R0202X, 2085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional RadiologyGroup - Multi-Specialty
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC096820400Medicaid
MD104679900Medicaid