Provider Demographics
NPI:1851620025
Name:TAN, MIN HWA (MD)
Entity Type:Individual
Prefix:DR
First Name:MIN
Middle Name:HWA
Last Name:TAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2121 WHALEN DR
Mailing Address - Street 2:
Mailing Address - City:POINT ROBERTS
Mailing Address - State:WA
Mailing Address - Zip Code:98281-9543
Mailing Address - Country:US
Mailing Address - Phone:360-945-0905
Mailing Address - Fax:
Practice Address - Street 1:2121 WHALEN DR
Practice Address - Street 2:
Practice Address - City:POINT ROBERTS
Practice Address - State:WA
Practice Address - Zip Code:98281-9543
Practice Address - Country:US
Practice Address - Phone:360-945-0905
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-16
Last Update Date:2009-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00035240207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology