Provider Demographics
NPI:1386951887
Name:GITHU, TANGAYI (MD)
Entity type:Individual
Prefix:
First Name:TANGAYI
Middle Name:
Last Name:GITHU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2006 FRANKLIN ST SE STE 200
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-4537
Mailing Address - Country:US
Mailing Address - Phone:256-539-0457
Mailing Address - Fax:256-539-5827
Practice Address - Street 1:2006 FRANKLIN ST SE
Practice Address - Street 2:SUITE 200
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-4551
Practice Address - Country:US
Practice Address - Phone:256-539-0457
Practice Address - Fax:256-539-5827
Is Sole Proprietor?:No
Enumeration Date:2010-09-03
Last Update Date:2021-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL323742085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL228614Medicaid
AL228943Medicaid
AL229181Medicaid
AL148192Medicaid
AL149840Medicaid
AL228233Medicaid
AL228984Medicaid
AL249251Medicaid
AL148104Medicaid
AL149602Medicaid
AL211420Medicaid
AL247897Medicaid
AL229124Medicaid
AL229712Medicaid
AL236735Medicaid
AL247862Medicaid
AL148650Medicaid
AL247637Medicaid
AL148154Medicaid
AL148155Medicaid
AL148563Medicaid
AL148657Medicaid
AL150550Medicaid
AL229376Medicaid
AL248844Medicaid
AL148161Medicaid
AL228615Medicaid
AL247785Medicaid
AL148189Medicaid
AL149511Medicaid
AL160101Medicaid
AL229229Medicaid