Basic Information
| Provider Information | |||||||||
| NPI: | 1790793404 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | TANGPRICHA | ||||||||
| FirstName: | VIN | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1365 CLIFTON RD NE BLDG A | ||||||||
| Address2: | INTERNAL MEDICINE/ENDOCRINOLOGY SUITE 4400 | ||||||||
| City: | ATLANTA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 303221013 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4047783280 | ||||||||
| FaxNumber: | 4047785730 | ||||||||
| Practice Location | |||||||||
| Address1: | 1365 CLIFTON RD NE BLDG A | ||||||||
| Address2: | INTERNAL MEDICINE/ENDOCRINOLOGY SUITE 4400 | ||||||||
| City: | ATLANTA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 303221013 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4047783280 | ||||||||
| FaxNumber: | 4047785730 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/04/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RE0101X | 053886 | GA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Endocrinology, Diabetes & Metabolism |
No ID Information.