Tan, Miguel

Tan, Miguel is an individual health care provider with primary practice located at 1968 Peachtree Rd Nw 77 Bldg 5Th Floor, Atlanta GA 30309-1281. He recently has only one registered license in Allopathic & Osteopathic Physicians / Transplant Surgery, which is considered as his primary health care specialty. Tan, Miguel can be contacted via phone (404) 605-4929.

Contact Information

Primary practice address
1968 Peachtree Rd Nw 77 Bldg 5Th Floor Atlanta GA 30309-1281
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Transplant Surgery 204F00000X 060198 Georgia

Profile Details

NPI number 1770518573
LBN Legal business name Tan, Miguel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Aug 28th, 2015 - about 11 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 1770518573 NPPES
Other I42728 UPIN
MEDICAID 023084170A UPIN

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