| Edith H Kang, MD | |
|
2355 Highway 36 W, Ste 100, Roseville, MN 55113-3905 | |
| (651) 292-2000 | |
| Not Available |
| Full Name | Edith H Kang |
|---|---|
| Gender | Female |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 2355 Highway 36 W, Roseville, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720066848 | NPI | - | NPPES |
| 784263500 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 36166 (Minnesota) | Primary |
| Entity Name | Group Health Plan Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
| Entity Name | Fairview Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
| Entity Name | Midwest Radiology Outpatient Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720059264 PECOS PAC ID: 3870495591 Enrollment ID: O20040123000119 |
| Entity Name | Fairview Express Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
| Entity Name | St. Croix Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043240922 PECOS PAC ID: 9335032184 Enrollment ID: O20110929000165 |
| Entity Name | Towner County Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124041389 PECOS PAC ID: 6800798497 Enrollment ID: O20160111001169 |
| Mailing Address | Practice Location Address |
|---|---|
| Edith H Kang, MD 2355 Highway 36 W, Ste 100, Roseville, MN 55113-3905 Ph: (651) 292-2000 | Edith H Kang, MD 2355 Highway 36 W, Ste 100, Roseville, MN 55113-3905 Ph: (651) 292-2000 |
Dr. Amanjit Singh Baadh, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2355 Highway 36 W Ste 100, Roseville, MN 55113 Phone: 651-292-0000 | |
Dr. Jonathan P Williams, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2355 Highway 36 W Ste 100, Roseville, MN 55113 Phone: 651-292-2000 | |
Dr. Grant Michael Riesberg, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2355 Hwy 36 W., Ste. 100, Roseville, MN 55113 Phone: 651-292-2000 | |
Jorge A Leon, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2355 Highway 36 W, Ste 100, Roseville, MN 55113 Phone: 651-292-2000 | |
John P Knoedler Jr., MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2355 Highway 36 W, Ste 100, Roseville, MN 55113 Phone: 651-292-2000 | |
Robert John Hosker, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2355 Highway 36 W, Ste 100, Roseville, MN 55113 Phone: 651-292-2000 Fax: 651-681-1140 | |
Jennifer Ashley Knight, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2355 Hwy 36 W., Ste. 100, Roseville, MN 55113 Phone: 651-292-2000 |