DR. M.D. Raymundo T Tan, NPI 1700869229
Diagnostic Radiology Physician in Jamestown, ND, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1700869229
NPI Entity Type Individual
Provider Name DR. M.D. Raymundo T Tan
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 419 5th St Ne, Jamestown, ND, US
Provider Mailing Address 419 5th St Ne, Jamestown, ND, US, 584013300
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

2085R0202X

Taxonomy Name Diagnostic Radiology Physician
Classification

Radiology

Group

Allopathic & Osteopathic Physicians

License No. 4669
License State ND
Description A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Business Address

DR. M.D. Raymundo T Tan
419 5th St Ne

Jamestown, ND, US

Phone: 701-252-1050
Fax: 701-952-3265

Mailing Address

DR. M.D. Raymundo T Tan
419 5th St Ne
Jamestown, ND, US
ZIP 584013300
Phone: 701-252-1050
Fax: 701-952-3265

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
18514 ND MEDICAID 05
01008891 PREFERRED ONE 01
16-11656 MEDICA 01
7207820 SD MEDICAID 05
47607 HEALTHPARTNERS 01
13243 ND BLUE SHIELD 01
46031641458401C003 TRICARE 01
719609 AMERICA'S PPO 01

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