Healthcare Provider Details

I. General information

NPI: 1275669616
Provider Name (Legal Business Name): CHRISTOPHER TIMOTHY LANG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 03/04/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2050 KENNY RD 6TH FLOOR TOWER
COLUMBUS OH
43221-3502
US

IV. Provider business mailing address

2050 KENNY RD 6TH FLOOR TOWER
COLUMBUS OH
43221-3502
US

V. Phone/Fax

Practice location:
  • Phone: 614-293-2222
  • Fax: 614-293-2200
Mailing address:
  • Phone: 614-293-2222
  • Fax: 614-293-2200

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number35.086557
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number35.086557
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: