Provider Demographics
NPI:1447212048
Name:TAN, SING H (MD)
Entity Type:Individual
Prefix:MR
First Name:SING
Middle Name:H
Last Name:TAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2700 INTERNATIONAL BLVD
Mailing Address - Street 2:STE 35
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94601
Mailing Address - Country:US
Mailing Address - Phone:510-533-9422
Mailing Address - Fax:510-533-2414
Practice Address - Street 1:2700 INTERNATIONAL BLVD
Practice Address - Street 2:STE 35
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94601
Practice Address - Country:US
Practice Address - Phone:510-533-9422
Practice Address - Fax:510-533-2414
Is Sole Proprietor?:No
Enumeration Date:2006-04-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA25140207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A251400Medicaid
CA00A251400Medicare ID - Type Unspecified
CA00A251400Medicaid