MR. CLINT CHRISTIAN TAN GARBANZOS M.D. NPI 1801527262

NPI Information

  • NPI: 1801527262
  • Provider Name: MR. CLINT CHRISTIAN TAN GARBANZOS, M.D.
  • Classification: Student in an Organized Health Care Education/Training Program - 390200000X
  • Entity Type: Individual
  • Address: 3800 RESERVOIR RD NW
    DEPARTMENT OF PATHOLOGY AND LABORATORY MEDICINE
    WASHINGTON, DC
    ZIP 20007
  • Phone: (202) 687-3614

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NPI Details

MR. Clint Christian Tan Garbanzos, M.D. is a student in an organized health care education training program in Washington, DC. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. MR. Clint Christian Tan Garbanzos, M.D. NPI is 1801527262. 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:

3800 RESERVOIR RD NW
DEPARTMENT OF PATHOLOGY AND LABORATORY MEDICINE
WASHINGTON, DC
ZIP 20007
Phone: (202) 687-3614
Fax: (202) 687-8935

The enumeration date for this NPI number is 6/17/2022 and was last updated on 9/15/2022.

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
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
2390200000XStudent in an Organized Health Care Education/Training ProgramMTL600001560DISTRICT OF COLUMBIAYes

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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