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ALFONSO A TAN MD PC NPI 1851886329


NPI Information

NPI: 1851886329
Provider Name: ALFONSO A TAN MD PC

Other Name: ALFONSO A TAN

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 03D0969084

Address:
6844 E BROWN RD STE 101
MESA, AZ
ZIP 85207
Phone: (480) 832-5500
Get Directions

ALFONSO A TAN MD PC is an internal medicine in Mesa, AZ. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. ALFONSO A TAN MD PC NPI is 1851886329. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Alfonso A Tan.

The provider's business location address is:

6844 E BROWN RD STE 101
MESA, AZ
ZIP 85207-758
Phone: (480) 832-5500

The provider's authorized official is Gilda Tan .
The authorized official title is Manager and has the following contact phone number (480) 832-5500.

The CLIA number assigned to this NPI record is 03D0969084 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/27/2018 and was last updated on 6/27/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine22583ARIZONAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1Z28281MEDICAIDARIZONA

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

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