Individual
RAYMOND CHARLES TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7887 N CEDAR AVE, FRESNO, CA 93720-2685
(559) 437-1000
(559) 437-3870
Mailing address
PO BOX 756, DANVILLE, CA 94526-0756
(877) 866-0914
(916) 303-8568
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
A73252
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OOA732520
BLUE SHIELD
CA
Enumeration date
11/25/2005
Last updated
02/24/2017
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