DR. PETER BYUNG-HOON KANG MD NPI 1992723191

NPI Information

NPI: 1992723191
Provider Name: DR. PETER BYUNG-HOON KANG, MD
Classification: Psychiatry & Neurology - 2084N0402X
Entity Type: Individual

Specialization: Neurology with Special Qualifications in Child Neurology

PECOS Registration: Yes

Address:
1600 SW ARCHER RD
GAINESVILLE, FL
ZIP 32610
Phone: (352) 273-8920
Get Directions

DR. Peter Byung-hoon Kang, MD is a neurology with special qualifications in child neurology psychiatry neurology in Gainesville, FL. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. DR. Peter Byung-hoon Kang, MD NPI is 1992723191. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1600 SW ARCHER RD
GAINESVILLE, FL
ZIP 32610-003
Phone: (352) 273-8920
Fax: (617) 730-0279

The NPI 1992723191 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/17/2006 and was last updated on 1/13/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080A0000X	Pediatrics	Adolescent Medicine	214097	MASSACHUSETTS	No
2	2084N0400X	Psychiatry & Neurology	Neurology	214097	MASSACHUSETTS	No
3	2084N0402X	Psychiatry & Neurology	Neurology with Special Qualifications in Child Neurology	214097	MASSACHUSETTS	No
4	2084N0402X	Psychiatry & Neurology	Neurology with Special Qualifications in Child Neurology	ME117461	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	A34295	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS
2	009815500	MEDICAID	FLORIDA
3	HO980Z	MEDICARE PIN	FLORIDA
4	0198471	MEDICAID	MASSACHUSETTS
5	H65444	MEDICARE UPIN	MASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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