Basic Information
Provider Information
NPI: 1578738191
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DANG
FirstName: HON
MiddleName: G
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 10540 MARTY ST
Address2: STE 100
City: OVERLAND PARK
State: KS
PostalCode: 662122551
CountryCode: US
TelephoneNumber: 9136601616
FaxNumber:  
Practice Location
Address1: 10500 QUIVIRA RD
Address2:  
City: OVERLAND PARK
State: KS
PostalCode: 662152306
CountryCode: US
TelephoneNumber: 9135415000
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/24/2008
LastUpdateDate: 12/31/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X0435953KSY Allopathic & Osteopathic PhysiciansInternal Medicine 
208000000X0435953KSN Allopathic & Osteopathic PhysiciansPediatrics 

No ID Information.


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