Individual
JANE TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
750 WELCH RD, SUITE 200, PALO ALTO, CA 94304-1507
(650) 725-9891
Mailing address
750 WELCH RD, SUITE 200, PALO ALTO, CA 94304-1507
(650) 725-9891
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
G85943
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G859430
—
CA
Enumeration date
02/13/2007
Last updated
07/08/2007
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