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Contact Information

BENJAMIN B TANG, MD
333 W 89TH AVE STE W2
MERRILLVILLE, IN46410
 Phone: 317-671-7460
 Fax: 224-235-4652
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for BENJAMIN B TANG · (Male)

NPI # 1225112196
Status Active
Credentials MD
Entity Individual
Enumeration date 10/25/2006
Last updated 12/06/2018 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 036055168
  • IN License # 01033529A
  • IN Medicaid 100203000A
  • Other 330002905 RAILROAD MEDICARE PART B
  • IL Other 911-08127 BLUE SHIELD IL
  • IL Other 351859903 ILLINOIS PULIC AID
  • IN Other 000000077842 ANTHEM BCBS IN
  • WI Other 351859903012 BLUE SHIELD WI
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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