| Doctor Name: | MR. KIM TUA PANG |
| NPI Number: | 1386608958 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 0101036271 |
| Business Practice Address: | 12113 New Hampshire Ave Silver Springs, MD - 20904 |
| Business Phone Number: | 3013863819 |
| Business Fax Number: | 3016222309 |
| Mailing Address: | 12113 New Hampshire Ave, SILVER SPRINGS |
| State: | MD |
| Postal Code: | 20904 |
| Phone Number: | 7038459391 |
| Fax Number: | |
| NPI Enumeration Date: | 04/12/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 0101036271 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |