Individual
REGINA TAN-CAMACHO
Active
Individual
REGINA TAN-CAMACHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101044540
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005841712
—
VA
01
—
12105
SENTARA
VA
01
—
450273
ANTHEM
VA
01
—
541595397
TRICARE
VA
Enumeration date
06/18/2006
Last updated
04/12/2010
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