Individual
DR. JEREMIAS C TAN
Active
Individual
DR. JEREMIAS C TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
0101239223
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101239223
STATE LICENSE
VA
05
—
1699723213
—
VA
01
—
206263
ANTHEM BCBS
—
01
—
206265
ANTHEM BCBS
—
01
—
302447
ANTHEM BCBS
—
01
—
302474
ANTHEM BCBS
—
01
—
341909
ANTHEM BCBS
—
01
—
346674
ANTHEM BCBS
—
01
—
79160018
CAREFIRST BCBS
—
Enumeration date
05/05/2006
Last updated
03/07/2023
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