Provider Demographics
NPI:1548311566
Name:KANG NING HU MD
Entity type:Organization
Organization Name:KANG NING HU MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KANG NING
Authorized Official - Middle Name:
Authorized Official - Last Name:HU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:724-282-1790
Mailing Address - Street 1:316 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001-4920
Mailing Address - Country:US
Mailing Address - Phone:724-282-1790
Mailing Address - Fax:724-282-2983
Practice Address - Street 1:316 N MAIN ST
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-4920
Practice Address - Country:US
Practice Address - Phone:724-282-1790
Practice Address - Fax:724-282-2983
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2009-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD026237E208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
219592OtherHEALTH AMERICA, HEALTH ASSURANCE, COVENTRY HEALTH CARE
077075OtherAETNA
PA1018514OtherGATEWAY HEALTHPLAN
PA0009461520009Medicaid
04910OtherUPMC
10928931OtherUNITED HEALTHCARE
1827076OtherHIGHMARK BLUE SHIELD
PA060107OtherUNISON HEALTHPLAN
PA0009461520007Medicaid
PA0009461520009Medicaid