Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TONY THIEN TANG, M. D.
Active Sole ProprietorTONY THIEN TANG, M. D. is a Gastroenterology healthcare provider located in ST. LOUIS, Missouri. NPI 1417040114 is currently active in the NPPES registry. Verify at CMS.
Gastroenterology · ST. LOUIS, MO
Registration Details
- NPI Number
- 1417040114
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 2, 2006 (19.898994357208 yrs)
- Last Updated
- Jul 8, 2007
- License
-
2003024222 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4675 SOUTH GRAND BLVD.ST. LOUIS, MO, 63111Browse MO providers · Browse ZIP 63111
- Phone
- 3147528600
- Fax
- 3147528601
- Primary Specialty
-
Gastroenterology
207RG0300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.