Individual
DR. DEREK TANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-8809
Mailing address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-8809
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
ME175544
FL
2085R0204X
Vascular & Interventional Radiology Physician
ME175544
FL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
LP05270
RI
390200000X
Student in an Organized Health Care Education/Training Program
MT220030
PA
Other
Enumeration date
06/08/2020
Last updated
12/12/2025
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