Individual
MR. GANG GARY TIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
7945 WOLF RIVER BOULEVARD, GERMANTOWN, TN 38138
(901) 683-0055
(901) 922-6701
Mailing address
7945 WOLF RIVER BOULEVARD, GERMANTOWN, TN 38138
(901) 683-0055
(901) 922-6701
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
18163
MS
207RH0003X
Hematology & Oncology Physician
Primary
37455
TN
207RH0003X
Hematology & Oncology Physician
E3740
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00407367
—
MS
05
—
159905001
—
AR
05
—
208389015
—
MO
05
—
3000362
—
TN
01
—
41026
TLC
TN
01
—
4156741
TN BCBS
TN
01
—
5M939
AR BCBS
AR
01
—
7176524
AETNA
TN
01
—
9265094
CIGNA
TN
Enumeration date
07/13/2005
Last updated
07/10/2023
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