Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael Leon Tjahjadi, MD

Individual provider Pediatrics Physician · NPI 1699188912

Michael Leon Tjahjadi, MD is a Pediatrics Physician in Statesville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2014.

Licensed in
NC
In the registry since
2014
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

728 Hartness Rd
Statesville, NC 28677-3425
Phone: (704) 360-6420
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 2023-02709 (NC)

Record details

NPI number1699188912
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 4, 2014
Last updated in NPPESJuly 28, 2025
Certification dateJuly 28, 2025

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