Individual
SHAN TANDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 W 16TH ST, PUEBLO, CO 81003-2781
(719) 595-7585
Mailing address
400 W 16TH ST, PUEBLO, CO 81003-2781
(719) 595-7585
(719) 595-7589
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/17/2021
Last updated
03/27/2023
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