Provider Demographics
NPI:1093058158
Name:TANG, HAO (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:HAO
Middle Name:
Last Name:TANG
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:PETER
Other - Middle Name:HAO
Other - Last Name:TANG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:167 ASHLEY AVE # MSC676
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29425-8905
Mailing Address - Country:US
Mailing Address - Phone:843-792-2020
Mailing Address - Fax:843-792-1166
Practice Address - Street 1:167 ASHLEY AVE # MSC676
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29425-8905
Practice Address - Country:US
Practice Address - Phone:843-792-2020
Practice Address - Fax:843-792-1166
Is Sole Proprietor?:No
Enumeration Date:2013-03-27
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN64943207WX0107X, 207WX0107X
SC90734207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist