Provider Demographics
NPI:1063694487
Name:KHANG CORPORATION
Entity type:Organization
Organization Name:KHANG CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ZER
Authorized Official - Middle Name:
Authorized Official - Last Name:KHANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-276-8296
Mailing Address - Street 1:995 UNIVERSITY AVE W
Mailing Address - Street 2:SUITE 205
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55104-4796
Mailing Address - Country:US
Mailing Address - Phone:651-646-1231
Mailing Address - Fax:651-646-1287
Practice Address - Street 1:995 UNIVERSITY AVE W
Practice Address - Street 2:SUITE 205
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55104-4796
Practice Address - Country:US
Practice Address - Phone:651-646-1231
Practice Address - Fax:651-646-1287
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-27
Last Update Date:2007-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health