Individual provider · Type 1 NPI

Michael Leon Tjahjadi, MD

Pediatrics Physician · Statesville, NC

NPI number 1699188912 Active

Practice location

728 Hartness Rd
Statesville, NC 28677-3425

Mailing address

200 E 2nd Ave
Gastonia, NC 28052-4358

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician Primary 208000000X2023-02709 (NC)

Pediatrics Physician: A pediatrician 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 de…

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About NPI 1699188912

Michael Leon Tjahjadi, MD's National Provider Identifier is 1699188912, issued on Jun 4, 2014. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Statesville, NC. The record was last updated on Jul 28, 2025.