Individual
CARIDAD C TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2730 PIERCE ST STE 402A, SIOUX CITY, IA 51104-3766
(712) 252-8191
(712) 252-8192
Mailing address
2730 PIERCE ST STE 402A, SIOUX CITY, IA 51104-3766
(712) 252-8191
(712) 252-8192
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
28744
IA
207RN0300X
Nephrology Physician
4626
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120112
—
IA
Enumeration date
05/25/2006
Last updated
02/05/2014
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