Tan, Thomas B

Tan, Thomas B is an individual health care provider with primary practice located at 400 Medical Plz Ste 100 , Lake St Louis MO 63367-1493. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Tan, Thomas B can be contacted via phone (636) 639-8600.

Contact Information

Primary practice address
400 Medical Plz Ste 100 Lake St Louis MO 63367-1493
Phone: (636) 639-8600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 17614 Alabama
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 62467 Florida
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X MD221267 Oregon
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X H2823 Texas
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 2020008924 Missouri

Profile Details

NPI number 1275528382
LBN Legal business name Tan, Thomas B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated Mar 3rd, 2025 - about last year

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 1275528382 NPPES
Florida MEDICAID 371163300
Florida Other 109896
Florida Other 110883
Florida Other 110905

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