Provider Demographics
NPI:1952336885
Name:KANG, AARON MIN (MD)
Entity type:Individual
Prefix:DR
First Name:AARON
Middle Name:MIN
Last Name:KANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1012 E WILLETTA ST FL 2
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85006-2749
Mailing Address - Country:US
Mailing Address - Phone:602-839-6690
Mailing Address - Fax:602-839-4138
Practice Address - Street 1:1111 E MCDOWELL RD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85006-2612
Practice Address - Country:US
Practice Address - Phone:602-839-6690
Practice Address - Fax:602-839-4138
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2018-11-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ48735207R00000X, 207RA0401X, 208000000X, 2080T0002X
AZ48785207RA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080T0002XAllopathic & Osteopathic PhysiciansPediatricsMedical Toxicology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RA0401XAllopathic & Osteopathic PhysiciansInternal MedicineAddiction Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics