Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 0101226158 | VA |
NPI | 1124244025 |
---|---|
Provider Name | Daniel Giunway Tang |
First Address | Baltimore, MD 21297-3174 |
Second Address | Falls Church, VA 22042-1205 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2007 |
Last Update Date | 25/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
AO697Z | (02) |