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Individual

DR. TIK KA LISA NG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4000 OLNEY LAYTONSVILLE RD, OLNEY, MD 20832-1802
(301) 774-2506
(301) 774-3734
Mailing address
4000 OLNEY LAYTONSVILLE RD, OLNEY, MD 20832-1802
(301) 774-2506
(301) 774-3734

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0055931
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0989033
CIGNA PIN
MD
01
125716
JHHC PROVIDER NUMBER
MD
01
2097791
UHC PROVIDER NUMBER
MD
01
2120765
MAMSI SPECIALIST
MD
01
2619428
AETNA CAPITATED
MD
01
607673-03
CAREFIRST MD RENDERING
MD
01
7104241
AETNA FEE FOR SERVICE
MD
01
7605-0062
CAREFIRST BLUECHOICE
MD
01
8120765
MAMSI PRIMARY CARE
MD
01
D0055931
MHIP PROVIDER ID
MD
01
P16105
CAREFIRST MPOS
MD
Enumeration date
08/10/2005
Last updated
11/19/2007
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