Basic Information
| Provider Information | |||||||||
| NPI: | 1811312564 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | TANGA | ||||||||
| FirstName: | CHRISTOPHER | ||||||||
| MiddleName: | FREDERICK | ||||||||
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| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1050 CROSSBROOK BLVD | ||||||||
| Address2: | |||||||||
| City: | GALLOWAY | ||||||||
| State: | OH | ||||||||
| PostalCode: | 431193316 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8622662913 | ||||||||
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| Practice Location | |||||||||
| Address1: | 5100 W. BROAD ST | ||||||||
| Address2: | DOCTORS HOSPITAL | ||||||||
| City: | COLUMBUS | ||||||||
| State: | OH | ||||||||
| PostalCode: | 43228 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6145441000 | ||||||||
| FaxNumber: | 6145441751 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/04/2014 | ||||||||
| LastUpdateDate: | 06/22/2017 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | 34.012298 | OH | N | Allopathic & Osteopathic Physicians | Emergency Medicine | 208600000X | 34.012298 | OH | Y | Allopathic & Osteopathic Physicians | Surgery |
No ID Information.