MEDICARE: DR. CARL WEI-CHAN TONG 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
1	207RA0001X	Advanced Heart Failure and Transplant Cardiology Physician	78162	AZ
2	207RC0000X	Cardiovascular Disease Physician	78162	AZ

General Provider Information

NPI Number	:	1992760276
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CARL WEI-CHAN TONG M.D., PH.D.

Provider Business Mailing Address
First Line	:	1501 N CAMPBELL AVE
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85724-0001
Country	:	US
Telephone Number	:	520-694-8888
Fax Number	:	520-694-1007

Provider Business Practice Location Address
First Line	:	3838 N CAMPBELL AVE BLDG 2
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85719-1454
Country	:	US
Telephone Number	:	520-694-8888
Fax Number	:	520-694-1007

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

Provider Enumeration Date	:	04/19/2006
Last Update Date	:	10/21/2025

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