Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
DR. ENRICO TAN
Active
Individual
DR. ENRICO TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36002613
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000123607
ANTHEM BC/BS PROV NUMBER
OH
05
—
0765159
—
OH
01
—
0784560001
DMERC
OH
Enumeration date
07/20/2006
Last updated
02/14/2011
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