Individual
SHOU - JIANG TANG
Active
Individual
SHOU - JIANG TANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
21274
MS
207RG0100X
Gastroenterology Physician
L9924
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01239701
—
MS
05
—
123695
—
AL
05
—
167962301
—
TX
05
—
2142267
—
LA
01
—
302I103478
MEDICARE PTAN
MS
Enumeration date
04/28/2006
Last updated
08/12/2014
Update your record
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