NPI 1003029646

Christopher F Tenggardjaja, MD

Practitioner Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician Cleveland, OH

Practice location

Address: 9500 Euclid Ave Q10-1, Cleveland, OH 44195-0001
Phone: (216) 444-5600

Registered specialties (2)

Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2088F0040X Licence A100721 (CA)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1003029646
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 May 2007
Record last updated: 4 Nov 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.