Provider Demographics
NPI:1275669616
Name:LANG, CHRISTOPHER TIMOTHY (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:TIMOTHY
Last Name:LANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2050 KENNY RD
Mailing Address - Street 2:6TH FLOOR TOWER
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43221-3502
Mailing Address - Country:US
Mailing Address - Phone:614-293-2222
Mailing Address - Fax:614-293-2200
Practice Address - Street 1:2050 KENNY RD
Practice Address - Street 2:6TH FLOOR TOWER
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43221-3502
Practice Address - Country:US
Practice Address - Phone:614-293-2222
Practice Address - Fax:614-293-2200
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2011-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.086557207V00000X, 207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2923046Medicaid
OH2923046Medicaid