Tan, Michelle H

Tan, Michelle H is an sole proprietor health care provider with primary practice located at 600 S Frederick Ave Ste 302, Gaithersburg MD 20877-1245. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Tan, Michelle H can be contacted via phone (301) 208-1188.

Contact Information

Primary practice address
600 S Frederick Ave Ste 302 Gaithersburg MD 20877-1245
Fax: (301) 208-1188
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X D0060871 Maryland

Profile Details

NPI number 1467411959
LBN Legal business name Tan, Michelle H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 22nd, 2006
Last updated Nov 16th, 2009 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467411959 NPPES
Maryland MEDICAID 405459800

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