Provider Demographics
NPI:1992418594
Name:KANG, BRIAN SUNGHYUN (PHARMD)
Entity type:Individual
Prefix:
First Name:BRIAN
Middle Name:SUNGHYUN
Last Name:KANG
Suffix:
Gender:
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6420 STREAM VALLEY WAY
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20882-1272
Mailing Address - Country:US
Mailing Address - Phone:240-750-5418
Mailing Address - Fax:
Practice Address - Street 1:19927 CENTURY BLVD
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20874-7120
Practice Address - Country:US
Practice Address - Phone:301-972-4861
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-29
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD29009183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist