Provider Demographics
NPI:1285914531
Name:KANG, BALWINDER SINGH (MD)
Entity type:Individual
Prefix:
First Name:BALWINDER
Middle Name:SINGH
Last Name:KANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9397 CROWN CREST BLVD STE 401
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80138-8789
Mailing Address - Country:US
Mailing Address - Phone:303-697-1636
Mailing Address - Fax:303-805-9948
Practice Address - Street 1:9397 CROWN CREST BLVD STE 401
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80138-8789
Practice Address - Country:US
Practice Address - Phone:303-697-1636
Practice Address - Fax:303-805-9948
Is Sole Proprietor?:No
Enumeration Date:2011-08-18
Last Update Date:2021-03-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CODR.0065723207RN0300X
NMMD2016-0482207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine