Tang, Nathan
Tang, Nathan is an individual health care provider with primary practice located at 333 Dr Ml King Jr St N , St Petersburg FL 33701-2717. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Tang, Nathan can be contacted via phone (727) 825-0111.Contact Information
Primary practice address
333 Dr Ml King Jr St N
St Petersburg FL 33701-2717
Phone: (727) 825-0111
Fax: (727) 825-0011
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | ME78703 | Florida |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME78703 | Florida |
Profile Details
| NPI number | 1871504746 |
|---|---|
| LBN Legal business name | Tang, Nathan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Jun 24th, 2023 - about last year |
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 | 1871504746 | NPPES |
| Florida | Other | 49938 | BLUE CROSS BLUE SHIELD |
| Florida | MEDICAID | 258322400 | BLUE CROSS BLUE SHIELD |
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