Provider Demographics
NPI:1588766604
Name:KANG, THOMAS SUNIL (MD)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:SUNIL
Last Name:KANG
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 43160
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85733-3160
Mailing Address - Country:US
Mailing Address - Phone:520-722-3777
Mailing Address - Fax:520-296-6224
Practice Address - Street 1:2506 E VISTOSO COMMERCE LOOP STE 180
Practice Address - Street 2:
Practice Address - City:ORO VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85755-9114
Practice Address - Country:US
Practice Address - Phone:520-775-3333
Practice Address - Fax:520-775-3334
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ33713207YX0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0901XAllopathic & Osteopathic PhysiciansOtolaryngologyOtology & Neurotology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ2173456Medicare PIN
AZ104416Medicare ID - Type Unspecified