Individual
VIRGINIA TAN TABIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8127 MERRILLVILLE RD, MERRILLVILLE, IN 46410-6158
(219) 769-4855
(219) 757-5629
Mailing address
2600 ROOSEVELT RD, VALPARAISO, IN 46383-0970
(219) 464-1620
(219) 757-5629
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
01032934
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100208820
—
IN
01
—
5171410004
DMERC
IN
Enumeration date
03/14/2006
Last updated
09/15/2008
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