Edward Park Kang, MD
Edward Park Kang, MD is a Vascular Surgery in Canton, Georgia. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 2005, 21 years ago. Practices with Northside Surgical Professional Services LLC, a 368-clinician group and accepts Medicare assignment. Licensed in Georgia, Michigan and Minnesota.
- Years since qualifying
- 21
- Trained at
- University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
- Licensed in
- GA, MI, MN
- In the registry since
- 2007
- Specialties on file
- 3
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
460 Northside Cherokee Blvd Ste 100Canton, GA 30115-8017
Phone: (770) 292-3490
Fax: (770) 721-5615
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Vascular Surgery Physician (primary) | Taxonomy 2086S0129X · Licence 70309 (GA) |
|---|---|
| Vascular Surgery Physician | Taxonomy 2086S0129X · Licence 54147 (MN) |
| Surgery Physician | Taxonomy 208600000X · Licence 4301086626 (MI) |
Record details
| NPI number | 1154504082 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | December 13, 2007 |
| Last updated in NPPES | April 27, 2021 |
| Certification date | April 27, 2021 |
Medicare enrollment
| Medicare specialty | VASCULAR SURGERY |
|---|---|
| Medical school | UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB) |
| Graduated | 2005 (21 years in practice) |
| Group practice | Northside Surgical Professional Services Llc — 368 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 7 on file with Medicare |