Individual
DR. RUP TANDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., FRCP
Contact information
Practice address
1 S PROSPECT ST, BURLINGTON, VT 05401-3456
(802) 656-4588
(802) 656-4588
Mailing address
1 S PROSPECT ST, BURLINGTON, VT 05401-3456
(802) 656-4588
(802) 656-5678
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
1763671
NY
2084N0400X
Neurology Physician
Primary
42-0006993
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005733
—
VT
05
—
E00894757
—
NY
Enumeration date
07/16/2006
Last updated
10/04/2013
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