Provider Demographics
NPI:1306606280
Name:IAP, TLUANG ZA
Entity type:Individual
Prefix:
First Name:TLUANG
Middle Name:ZA
Last Name:IAP
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 WALLINGER DR
Mailing Address - Street 2:
Mailing Address - City:GALLOWAY
Mailing Address - State:OH
Mailing Address - Zip Code:43119-8753
Mailing Address - Country:US
Mailing Address - Phone:513-226-4939
Mailing Address - Fax:
Practice Address - Street 1:800 WALLINGER DR
Practice Address - Street 2:
Practice Address - City:GALLOWAY
Practice Address - State:OH
Practice Address - Zip Code:43119-8753
Practice Address - Country:US
Practice Address - Phone:513-226-4939
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-19
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide