Provider Demographics
NPI:1013991488
Name:GAYEN, TAPAN KUMAR (MD, FACP)
Entity Type:Individual
Prefix:DR
First Name:TAPAN
Middle Name:KUMAR
Last Name:GAYEN
Suffix:
Gender:M
Credentials:MD, FACP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3613 CATTAIL LN
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27858-1032
Mailing Address - Country:US
Mailing Address - Phone:252-258-3609
Mailing Address - Fax:252-258-3609
Practice Address - Street 1:2100 STANTONSBURG RD
Practice Address - Street 2:PITT COUNTY MEMORIAL HOSPITAL
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-2818
Practice Address - Country:US
Practice Address - Phone:252-847-5473
Practice Address - Fax:252-847-6255
Is Sole Proprietor?:No
Enumeration Date:2005-11-30
Last Update Date:2020-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200501109208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2043562BOtherMEDICARE
NC5901318Medicaid
NC1392XOtherBCBS NC
NC5901318Medicaid