Ren, Tianbo

Ren, Tianbo is an individual health care provider with primary practice located at 8820 Columbia 100 Pkwy Ste 100 , Columbia MD 21045-2169. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Ren, Tianbo can be contacted via phone (410) 298-0454.

Contact Information

Primary practice address
8820 Columbia 100 Pkwy Ste 100 Columbia MD 21045-2169
Phone: (410) 298-0454
Fax: (301) 694-2606
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X D0079305 Maryland

Profile Details

NPI number 1184855223
LBN Legal business name Ren, Tianbo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2009
Last updated Jul 21st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184855223 NPPES
Maryland MEDICAID 091327800

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