Provider Demographics
NPI:1841440674
Name:TASHI, TSEWANG (MD)
Entity type:Individual
Prefix:
First Name:TSEWANG
Middle Name:
Last Name:TASHI
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 1:2000 CIRCLE OF HOPE DR
Mailing Address - Street 2:SUITE 2100
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84112-5550
Mailing Address - Country:US
Mailing Address - Phone:801-585-0120
Mailing Address - Fax:801-585-0124
Practice Address - Street 1:2000 CIRCLE OF HOPE DR
Practice Address - Street 2:SUITE 2100
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84112-5550
Practice Address - Country:US
Practice Address - Phone:801-585-0120
Practice Address - Fax:801-585-0124
Is Sole Proprietor?:No
Enumeration Date:2008-09-29
Last Update Date:2021-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101250522207R00000X
UT8259693-1205207RH0003X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine