Ren, Tianbo
Ren, Tianbo is an individual health care provider with primary practice located at 8820 Columbia 100 Pkwy Ste 100 , Columbia MD 21045-2169. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Ren, Tianbo can be contacted via phone (410) 298-0454.Contact Information
Primary practice address
8820 Columbia 100 Pkwy Ste 100
Columbia MD 21045-2169
Phone: (410) 298-0454
Fax: (301) 694-2606
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | D0079305 | Maryland |
Profile Details
| NPI number | 1184855223 |
|---|---|
| LBN Legal business name | Ren, Tianbo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 6th, 2009 |
| Last updated | Jul 21st, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184855223 | NPPES |
| Maryland | MEDICAID | 091327800 |
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