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NPI Code Detail

MEDICARE: ZHENYA TANG M.D.,PH.D.

MEDICARE: ZHENYA TANG M.D.,PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RI0200XInfectious Disease Physician44714TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1174923270
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZHENYA TANG M.D.,PH.D.
Provider Business Mailing Address
First Line : 985440 NEBRASKA MEDICAL CTR # 9020
Second Line :
City : OMAHA
State : NE
Zip : 68198-5440
Country : US
Telephone Number : 402-559-3139
Fax Number : 402-559-6391
Provider Business Practice Location Address
First Line : 985440 NEBRASKA MEDICAL CTR # 9020
Second Line :
City : OMAHA
State : NE
Zip : 68198-5440
Country : US
Telephone Number : 402-559-3139
Fax Number : 402-559-6391
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2014
Last Update Date : 05/28/2024

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