Individual
DR. GWENDOLIN VAKENA TANGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
50 MEDICAL PARK BLVD STE A, PETERSBURG, VA 23805-9275
(804) 765-6766
(804) 765-6771
Mailing address
8580 MAGELLAN PKWY, RICHMOND, VA 23227-1149
(804) 765-6766
(804) 765-6771
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
0101-254157
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962659730
—
VA
Enumeration date
08/25/2008
Last updated
02/05/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us