Individual
BRENT THOMAS TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PHD
Contact information
Practice address
300 PASTEUR DR RM L235, DEPARTMENT OF PATHOLOGY, STANFORD, CA 94305-2200
(650) 723-7211
(650) 725-7409
Mailing address
300 PASTEUR DR DEPT OF, STANFORD, CA 94305-2200
(650) 723-7211
(650) 725-7409
Taxonomy
Speciality
Code
Description
License number
State
207ZC0008X
Clinical Informatics (Pathology) Physician
A86418
CA
207ZH0000X
Hematology (Pathology) Physician
A86418
CA
207ZP0101X
Anatomic Pathology Physician
Primary
A86418
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
A86418
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A864180
—
CA
Enumeration date
01/17/2007
Last updated
03/13/2024
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