Tang, Nikki Borah

Tang, Nikki Borah is an individual health care provider with primary practice located at 7 Blanchard Cir , Wheaton IL 60189-7850. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Tang, Nikki Borah can be contacted via phone (630) 653-0848.

Contact Information

Primary practice address
7 Blanchard Cir Wheaton IL 60189-7850
Phone: (630) 653-0848
Fax: (630) 653-0988
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 085006035 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085006035 Illinois

Profile Details

NPI number 1598215022
LBN Legal business name Tang, Nikki Borah
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2016
Last updated Sep 12th, 2018 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598215022 NPPES
Illinois Other 920540 MEDICARE GROUP
Illinois Other F400460219 MEDICARE GROUP

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