CHRISTOPHER F TENGGARDJAJA — Medicare Enrolled Provider (PRACTITIONER - UROLOGY, CA)
CHRISTOPHER F TENGGARDJAJA — Medicare Enrolled Provider (PRACTITIONER - UROLOGY, CA) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: CHRISTOPHER F TENGGARDJAJA; Type: Individual; NPI: 1003029646.
| Name | CHRISTOPHER F TENGGARDJAJA |
|---|---|
| Type | Individual |
| NPI | 1003029646 |
| Provider type | PRACTITIONER - UROLOGY |
| State | CA |
| Enrollment ID | I20141108000360 |
| Multiple NPI flag | N |
| Source | CMS Medicare FFS Public Provider Enrollment (PECOS) |
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