DR. RAYMUNDO T TAN M.D. NPI 1700869229

NPI Information

NPI: 1700869229
Provider Name: DR. RAYMUNDO T TAN, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
419 5TH ST NE
JAMESTOWN, ND
ZIP 58401
Phone: (701) 252-1050
Get Directions

DR. Raymundo T Tan, M.D. is a diagnostic radiology radiology in Jamestown, ND. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Raymundo T Tan, M.D. NPI is 1700869229. 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:

419 5TH ST NE
JAMESTOWN, ND
ZIP 58401-300
Phone: (701) 252-1050
Fax: (701) 952-3265

The enumeration date for this NPI number is 11/29/2005 and was last updated on 2/6/2008.

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
1	2085R0202X	Radiology	Diagnostic Radiology	4669	NORTH DAKOTA	Yes

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
1	46031641458401C003	OTHER		TRICARE
2	719609	OTHER		AMERICA'S PPO
3	13243	OTHER	NORTH DAKOTA	BLUE SHIELD
4	7207820	MEDICAID	SOUTH DAKOTA
5	18514	MEDICAID	NORTH DAKOTA
6	16-11656	OTHER		MEDICA
7	01008891	OTHER		PREFERRED ONE
8	47607	OTHER		HEALTHPARTNERS
9	D29640	MEDICARE UPIN
10	N713181	MEDICARE PIN

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: 11/14/2023

NPI Synchronization or Removal

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