Healthcare Provider Details

I. General information

NPI: 1073089488
Provider Name (Legal Business Name): STEPHEN TAMANG MD CONSULTING SERVICES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2018
Last Update Date: 02/04/2026
Certification Date: 02/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

625 FLORMANN ST
RAPID CITY SD
57701-5469
US

IV. Provider business mailing address

PO BOX 24154
BELFAST ME
04915-4492
US

V. Phone/Fax

Practice location:
  • Phone: 605-340-1234
  • Fax: 855-526-0199
Mailing address:
  • Phone: 605-340-1234
  • Fax: 855-526-0199

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DAVID CHRISTENSEN
Title or Position: REGIONAL EXECUTIVE DIRECTOR
Credential:
Phone: 605-340-1234