DR. CARLOS CASTILO TAN M.D. NPI 1215901855

NPI Information

  • NPI: 1215901855
  • Provider Name: DR. CARLOS CASTILO TAN, M.D.
  • Classification: General Practice - 208D00000X
  • Entity Type: Individual
  • Address: 3 WASHINGTON AVE
    GAINESVILLE, GA
    ZIP 30501
  • Phone: (770) 503-0221

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NPI Details

DR. Carlos Castilo Tan, M.D. is a general practice in Gainesville, GA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. Carlos Castilo Tan, M.D. NPI is 1215901855. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3 WASHINGTON AVE
GAINESVILLE, GA
ZIP 30501-135
Phone: (770) 503-0221
Fax: (770) 503-0023

The enumeration date for this NPI number is 2/13/2006 and was last updated on 6/17/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral Practice27927GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1102I026506MEDICARE PINGEORGIA
2000304719HMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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