Michael Leon Tjahjadi
MD | Pediatrics | Male
Michael Leon Tjahjadi, MD is a Columbia, South Carolina based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Michael Leon Tjahjadi is
14 Medical Park Ste 400, Pediatric Outpatient Clinic, Columbia, South Carolina - 29203. He can be contacted on phone at
803-434-6155 and fax number 803-434-6979.
Michael Leon Tjahjadi is a sole proprietor of his business.
NPI number (Unique professional ID) for Michael Leon Tjahjadi is
1699188912 which was assigned by NPPES on 04 Jun, 2014 and it was last updated on 04 Jun, 2014.
Michael Leon Tjahjadi license number is
LL36929 for Pediatrics (208000000X) in South Carolina.
Michael Leon Tjahjadi is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Michael Leon Tjahjadi basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Michael Leon Tjahjadi |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Michael Leon Tjahjadi address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 14 Medical Park Ste 400, Pediatric Outpatient Clinic
Columbia, SC, 29203
United States |
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| Phone Number : | 803-434-6155 |
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| Fax Number : | 803-434-6979 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1699188912 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 04 Jun, 2014 |
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| Last Updated On : | 04 Jun, 2014 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Michael Leon Tjahjadi are as mentioned. Primary taxonomy code for Michael Leon Tjahjadi, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | LL36929 | SC |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 14 Medical Park Ste 400, Pediatric Outpatient Clinic
Columbia, SC, 29203
United States |
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| Phone Number : | 803-434-6155 |
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| Fax Number : | 803-434-6979 |
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Business Location:
Patients can refer following map for directions to
Michael Leon Tjahjadi practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.