Healthcare Provider Details

I. General information

NPI: 1932412764
Provider Name (Legal Business Name): JOANN H KANG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2010
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9715 MEDICAL CENTER DR STE 211
ROCKVILLE MD
20850-6573
US

IV. Provider business mailing address

9715 MEDICAL CENTER DR STE 211
ROCKVILLE MD
20850-6573
US

V. Phone/Fax

Practice location:
  • Phone: 240-599-5500
  • Fax: 833-450-6353
Mailing address:
  • Phone: 240-599-5500
  • Fax: 833-450-6353

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberD0074619
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: