National Provider Identifier
Kwang-Joon Nam, M.D.
Kwang-Joon Nam, M.D. is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician in Canandaigua, NY and a listed phone number of (585) 393-7176.
Profile Overview
- NPI
- 1487681854
- Provider Type
- Individual
- Primary Specialty
- Diagnostic Radiology Physician
- Enumeration Date
- June 28, 2006
- Last Updated
- July 08, 2007
Practice Location
- 400 Fort Hill Ave
- Canandaigua, NY 14424-1159
Phone: (585) 393-7176
Mailing Address
- 8 Saddle Ridge Trl
- Fairport, NY 14450-9584
Specialties
- Diagnostic Radiology Physician (2085R0202X)
Full Record
- NPI
- 1487681854
- Entity Type
- Individual
- Last Name
- Nam
- First Name
- Kwang-Joon
- Name Prefix
- Dr.
- Credential
- M.D.
- Mailing Street Address
- 8 Saddle Ridge Trl
- Mailing City
- Fairport
- Mailing State
- NY
- Mailing ZIP Code
- 14450-9584
- Mailing Country
- US
- Mailing Phone
- (585) 421-9611
- Mailing Fax
- (585) 393-8379
- Practice Street Address
- 400 Fort Hill Ave
- Practice City
- Canandaigua
- Practice State
- NY
- Practice ZIP Code
- 14424-1159
- Practice Country
- US
- Practice Phone
- (585) 393-7176
- Practice Fax
- (585) 393-8379
- Enumeration Date
- June 28, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Diagnostic Radiology Physician (2085R0202X)