Provider Demographics
NPI:1558326744
Name:KANG, BALVINDER S (MD)
Entity type:Individual
Prefix:
First Name:BALVINDER
Middle Name:S
Last Name:KANG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3802 SENECA ST
Mailing Address - Street 2:
Mailing Address - City:WEST SENECA
Mailing Address - State:NY
Mailing Address - Zip Code:14224-3433
Mailing Address - Country:US
Mailing Address - Phone:716-677-5418
Mailing Address - Fax:716-677-4240
Practice Address - Street 1:531 FARBER LAKES DR SUITE 201
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221
Practice Address - Country:US
Practice Address - Phone:716-632-5450
Practice Address - Fax:716-634-1098
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-19
Last Update Date:2019-01-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY1326662084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01429363Medicaid
NY01429363Medicaid