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Individual
SARADY TAN
Active
Individual
SARADY TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., M.S., M.P.H.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G79601
CA
2083A0100X
Aerospace Medicine Physician
G79601
CA
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
G79601
CA
Other
Enumeration date
07/19/2006
Last updated
06/09/2022
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