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Individual

SUJIE TANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4940 VAN NUYS BLVD STE 207, SHERMAN OAKS, CA 91403-1700
(818) 616-3998
(818) 688-0138
Mailing address
4940 VAN NUYS BLVD STE 207, SHERMAN OAKS, CA 91403-1700
(818) 616-3998
(818) 688-0138

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
A107300
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A107300
STATE LICENSE
CA
Enumeration date
12/10/2007
Last updated
07/29/2016
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