Provider Demographics
NPI:1013037530
Name:LANG, DAVID P (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:P
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 1:4125 MEDINA RD
Mailing Address - Street 2:#200C
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44333-2483
Mailing Address - Country:US
Mailing Address - Phone:330-665-8031
Mailing Address - Fax:330-665-8360
Practice Address - Street 1:4125 MEDINA RD
Practice Address - Street 2:#200C
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44333-2483
Practice Address - Country:US
Practice Address - Phone:330-665-8031
Practice Address - Fax:330-665-8360
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2011-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-095297207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2551671OtherMEDICAID GROUP
OH1467757237OtherARTHRITIS & RHEUMATOLOGY HWW TYPE 2 NPI #
OH1841239274OtherNPI GROUP (PPG)
OH3068513Medicaid
OH9338635OtherMEDICARE GROUP
OH3068513Medicaid