Tjahjadi, Michael Leon
Tjahjadi, Michael Leon is an individual health care provider with primary practice located at 14 Medical Park Ste 400 Pediatric Outpatient Clinic, Columbia SC 29203. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Tjahjadi, Michael Leon can be contacted via phone (803) 434-6155.Contact Information
Primary practice address
14 Medical Park Ste 400 Pediatric Outpatient Clinic
Columbia SC 29203
Phone: (803) 434-6155
Fax: (803) 434-6979
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | LL36929 | South Carolina |
Profile Details
| NPI number | 1699188912 |
|---|---|
| LBN Legal business name | Tjahjadi, Michael Leon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 4th, 2014 |
| Last updated | Jun 4th, 2014 - about 11 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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