MEDICARE: BRIAN K TSANG M.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
1	208VP0014X	Interventional Pain Medicine Physician	14282	MS
2	207LP2900X	Pain Medicine (Anesthesiology) Physician	14282	MS

Other Identifiers

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

General Provider Information

NPI Number	:	1194819045
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIAN K TSANG M.D.

Provider Business Mailing Address
First Line	:	PO BOX 4594
Second Line	:
City	:	BILOXI
State	:	MS
Zip	:	39535-4594
Country	:	US
Telephone Number	:	228-273-4096
Fax Number	:	877-796-0186

Provider Business Practice Location Address
First Line	:	180B DEBUYS RD
Second Line	:
City	:	BILOXI
State	:	MS
Zip	:	39531-4404
Country	:	US
Telephone Number	:	228-273-4096
Fax Number	:	877-796-0186

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	05/13/2024

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