Individual
DR. DEREK TANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
105688
GA
2085R0202X
Diagnostic Radiology Physician
ME175544
FL
2085R0204X
Vascular & Interventional Radiology Physician
105688
GA
2085R0204X
Vascular & Interventional Radiology Physician
ME175544
FL
390200000X
Student in an Organized Health Care Education/Training Program
LP05270
RI
390200000X
Student in an Organized Health Care Education/Training Program
MT220030
PA
Other
Enumeration date
06/08/2020
Last updated
08/13/2026
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