Provider Demographics
NPI:1275069320
Name:TANG, CASSIDY WEIHENG (MD)
Entity Type:Individual
Prefix:
First Name:CASSIDY
Middle Name:WEIHENG
Last Name:TANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6600 S YALE AVE STE 1200
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-3333
Mailing Address - Country:US
Mailing Address - Phone:918-488-6653
Mailing Address - Fax:918-488-6098
Practice Address - Street 1:6161 S YALE AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-1902
Practice Address - Country:US
Practice Address - Phone:918-502-1902
Practice Address - Fax:918-494-6303
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-11
Last Update Date:2020-08-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OK35615208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist