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NPI Code Detail

MEDICARE: STEPHEN TAMANG MD CONSULTING SCHANGERVICES PC

MEDICARE: STEPHEN TAMANG MD CONSULTING SCHANGERVICES PC
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
1261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center

General Provider Information

NPI Number : 1629788849
Entity Type Code : Organization
Provider Name (Legal Business Name) : STEPHEN TAMANG MD CONSULTING SCHANGERVICES PC
Provider Business Mailing Address
First Line : PO BOX 24154
Second Line :
City : BELFAST
State : ME
Zip : 04915-4492
Country : US
Telephone Number : 605-467-8030
Fax Number :
Provider Business Practice Location Address
First Line : 625 FLORMANN ST
Second Line :
City : RAPID CITY
State : SD
Zip : 57701-5469
Country : US
Telephone Number : 605-340-1234
Fax Number :
Authorized Official
Title or Position : SENIOR MANAGER, CREDENTIALING
Name : KATRINA MERRITT
Credential :
Telephone Number : 813-596-5726
Provider Enumeration Date : 11/29/2022
Last Update Date : 04/29/2024

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