Individual
DR. CONNIE T TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
2485 HOSPITAL DR, 251, MOUNTAIN VIEW, CA 94040-4101
(650) 988-7688
(650) 988-7638
Mailing address
2485 HOSPITAL DR, 251, MOUNTAIN VIEW, CA 94040-4101
(650) 988-7688
(650) 988-7638
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G00063487
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G00063487
STATE LICENSE NUMBER
CA
Enumeration date
07/13/2006
Last updated
07/08/2007
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