Active NPIIndividual provider

Domingo C Tan, MD

Radiology, Diagnostic Radiology in Chesapeake, Virginia

NPI Number1235147869
Practice location
736 Battlefield Blvd N, Chesapeake, VA 23320-4941
Fax
757-312-6195
Last updated
March 23, 2018

Domingo C Tan is a Radiology, Diagnostic Radiology based in Chesapeake, VA. 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 (VA). The current practice location address for Domingo C Tan is 736 Battlefield Blvd N, Chesapeake, VA 23320-4941 and can be reached out via phone at 757-312-6124 and via fax at 757-312-6195.

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 23320-4941
Phone Number
757-312-6124
Fax Number
757-312-6195
Primary Taxonomy
Radiology, Diagnostic Radiology · 2085R0202X
Sole Proprietor
No
Provider Enumeration Date
August 3, 2006
Last Update Date
March 23, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
736 Battlefield Blvd N
Chesapeake, VA 23320-4941
Zip
23320-4941
Phone Number
757-312-6124
Fax Number
757-312-6195
Chesapeake, VA 23320Get directions →

Provider Business Mailing Address Details

Address
Po Box 844527
Boston, MA 02284-4527
City
Boston
State
MA
Zip
02284-4527
Phone Number
757-867-6101
Fax Number
757-867-6588

License Information

License Number
0101023086
License State
VA
Taxonomy
Radiology, Diagnostic Radiology · 2085R0202X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Domingo C Tan, MD?

The NPI number of Domingo C Tan, MD is 1235147869. It was assigned on August 3, 2006 and is currently active in the NPPES registry.

What is the specialty of Domingo C Tan, MD?

Domingo C Tan, MD is registered under the primary taxonomy Radiology, Diagnostic Radiology (code 2085R0202X), licensed in VA under license number 0101023086.

Where does Domingo C Tan, MD practice?

The practice location is 736 Battlefield Blvd N, Chesapeake, VA 23320-4941. The office can be reached at 757-312-6124 (phone) or 757-312-6195 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235147869 directly on the NPPES registry website.

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