Individual
DR. HENRY HINCHUNG TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2450 ASHBY AVE, BERKELEY, CA 94705-2067
(510) 204-1894
Mailing address
2450 ASHBY AVE, BERKELEY, CA 94705-2067
(510) 204-1894
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D58871
MD
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
240004
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
A111285
CA
207RP1001X
Pulmonary Disease Physician
240004
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
365510500
—
MD
Enumeration date
06/16/2005
Last updated
12/22/2021
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