# SARADY TAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1497774319
- **Gender:** Man
- **Credential:** M.D., M.S., M.P.H.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | G79601 | CA | Yes |
| 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