Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | R10739 | IA |
Y | 111NI0900X | Internist | R10739 | IA |
NPI | 1003267360 |
---|---|
Provider Name | Tenzin Yangchen |
First Address | Des Moines, IA 50309-3203 |
Second Address | Des Moines, IA 50309-3203 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2016 |
Last Update Date | 28/06/2016 |