IndividualActive
Angela Tai
NPI 1336212810 · Diagnostic Radiology Physician · Roseville, MN
Provider details
- NPI number
- 1336212810
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
- License
- 54290 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2355 Highway 36 W Ste 100
Roseville, MN 55113-3905
Phone: (651) 292-0000
Approximate (ZIP-level) locationGet directions
Mailing address
2355 Highway 36 W Ste 100
Roseville, MN 55113-3905
Registry dates
- Enumerated
- 2006-11-15
- Last updated
- 2021-07-22
- Certified
- 2021-07-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.