Individual
SHEN-LI TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7320 216TH ST SW, STE 210, EDMONDS, WA 98026-8006
(425) 744-1777
(425) 744-1790
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
42767
MN
207RC0000X
Cardiovascular Disease Physician
0101240631
VA
207RC0000X
Cardiovascular Disease Physician
42767
MN
207RC0000X
Cardiovascular Disease Physician
MD60702367
WA
207RI0011X
Interventional Cardiology Physician
0101240631
VA
207RI0011X
Interventional Cardiology Physician
Primary
MD60702367
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
470009100
—
MN
Enumeration date
02/15/2006
Last updated
02/10/2017
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