Tang, Nikki Danielle Ying

Tang, Nikki Danielle Ying is an individual health care provider with primary practice located at 2924 Siskiyou Blvd Ste 200 , Medford OR 97504-6462. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is her primary health care specialty. Tang, Nikki Danielle Ying can be contacted via phone (541) 200-2777.

Contact Information

Primary practice address
2924 Siskiyou Blvd Ste 200 Medford OR 97504-6462
Phone: (541) 200-2777
Fax: (541) 214-2575
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD195049 Oregon
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 2862881 New York
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X MD195049 Oregon

Profile Details

NPI number 1740574169
LBN Legal business name Tang, Nikki Danielle Ying
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2011
Last updated Jan 2nd, 2021 - about 5 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 1740574169 NPPES
Oregon MEDICAID 500766374
Oregon MEDICAID 114347600

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