MEDICARE: MISS MOHLEEN KANG

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	78677	GA
2	207R00000X	Internal Medicine Physician	78677	GA
3	207RP1001X	Pulmonary Disease Physician	78677	GA

General Provider Information

NPI Number	:	1184967713
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS MOHLEEN KANG

Provider Business Mailing Address
First Line	:	615 MICHAEL ST NE STE 205
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30322-1020
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	615 MICHAEL ST NE STE 206
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30322-1047
Country	:	US
Telephone Number	:	404-712-8286
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/02/2013
Last Update Date	:	01/06/2026

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Directions to “ MISS MOHLEEN KANG ” Practice Location

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