Provider Demographics
NPI:1881783454
Name:TANG, SAROHD (OB GYN)
Entity type:Individual
Prefix:
First Name:SAROHD
Middle Name:
Last Name:TANG
Suffix:
Gender:M
Credentials:OB GYN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1054
Mailing Address - Street 2:
Mailing Address - City:PARSONS
Mailing Address - State:KS
Mailing Address - Zip Code:67357
Mailing Address - Country:US
Mailing Address - Phone:620-421-2460
Mailing Address - Fax:620-421-2462
Practice Address - Street 1:1902 S HWY 59
Practice Address - Street 2:STE 6
Practice Address - City:PARSONS
Practice Address - State:KS
Practice Address - Zip Code:67357
Practice Address - Country:US
Practice Address - Phone:620-421-2460
Practice Address - Fax:620-421-2462
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0416881207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS002682Medicare ID - Type Unspecified
B68822Medicare UPIN