Tabib, Virginia Tan
Tabib, Virginia Tan is an individual health care provider with primary practice located at 8127 Merrillville Rd , Merrillville IN 46410-6158. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Tabib, Virginia Tan can be contacted via phone (219) 769-4855.Contact Information
Primary practice address
8127 Merrillville Rd
Merrillville IN 46410-6158
Phone: (219) 769-4855
Fax: (219) 757-5629
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 01032934 | Indiana |
Profile Details
| NPI number | 1013985258 |
|---|---|
| LBN Legal business name | Tabib, Virginia Tan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Sep 15th, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013985258 | NPPES |
| Indiana | Other | 5171410004 | DMERC |
| Indiana | MEDICAID | 100208820 | DMERC |
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