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Domingo C Tan, MD
Diagnostic Radiology Physician in Chesapeake, Virginia
NPI 1235147869

Domingo C Tan is a Diagnostic Radiology Physician based in Boston, VA and is specialized in Diagnostic Radiology. Domingo C Tan practices in Chesapeake, VA and has the professional credentials of MD. The NPI Number for Domingo C Tan is 1235147869 and holds a License No. 0101023086 (Virginia).

The current practice location address for Domingo C Tan is 736 Battlefield Blvd N, Chesapeake, VA and can be reached out via phone at 757-312-6124 and via fax at 757-312-6195.

Location: 736 Battlefield Blvd N, Chesapeake, VA, 02284-4527
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235147869
Provider Name
Domingo C Tan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
736 Battlefield Blvd N, Chesapeake, VA, 02284-4527
Phone Number
757-312-6124
Fax Number
757-312-6195
Provider Enumeration Date
08/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
007256850 05 VA
institution
Provider Business Practice Location Address Details
Address
736 Battlefield Blvd N
City
Chesapeake
State
Virginia
Zip
23320-4941
Phone Number
757-312-6124
Fax Number
757-312-6195
person
Provider Business Mailing Address Details
Address
736 Battlefield Blvd N
City
Chesapeake
State
Virginia
Zip
23320-4941
Phone Number
757-312-6124
Fax Number
757-312-6195
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
0101023086 (Virginia)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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