Provider Demographics
NPI:1811168321
Name:KAHNG, HE-YEUN (MD)
Entity type:Individual
Prefix:DR
First Name:HE-YEUN
Middle Name:
Last Name:KAHNG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:HE-YEUN
Other - Middle Name:
Other - Last Name:KAHNG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:335 DORN DR
Mailing Address - Street 2:
Mailing Address - City:SHREWSBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:07702-4592
Mailing Address - Country:US
Mailing Address - Phone:732-493-0065
Mailing Address - Fax:
Practice Address - Street 1:335 DORN DR
Practice Address - Street 2:
Practice Address - City:SHREWSBURY
Practice Address - State:NJ
Practice Address - Zip Code:07702-4592
Practice Address - Country:US
Practice Address - Phone:732-493-0065
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-12
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA 39212208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ446067Medicare PIN
NJB13599Medicare UPIN