Individual
DR. TAPAN KUMAR GAYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, FACP
Contact information
Practice address
2100 STANTONSBURG RD, PITT COUNTY MEMORIAL HOSPITAL, GREENVILLE, NC 27834-2818
(252) 847-5473
(252) 847-6255
Mailing address
3613 CATTAIL LN, GREENVILLE, NC 27858-1032
(252) 258-3609
(252) 258-3609
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
200501109
NC
208M00000X
Hospitalist Physician
200501109
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1392X
BCBS NC
NC
01
—
2043562B
MEDICARE
NC
05
—
5901318
—
NC
Enumeration date
11/30/2005
Last updated
12/15/2020
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