Andrew Tan, DO
Student in an Organized Health Care Education/Training Program in Providence, Rhode Island
1487234647- Practice location
- 593 Eddy St, Providence, RI 02903-4923
- Phone
- 401-793-2695
- Fax
- 401-444-4165
- Last updated
- January 2, 2026
Andrew Tan is a Student in an Organized Health Care Education/Training Program based in Providence, RI. Andrew Tan practices in Providence, RI and has the professional credentials of DO. The NPI Number for Andrew Tan is 1487234647 and holds a License No. 1025199 (MA). The current practice location address for Andrew Tan is 593 Eddy St, Providence, RI 02903-4923 and can be reached out via phone at 401-793-2695 and via fax at 401-444-4165.
Provider Profile Details
- NPI Number
- 1487234647
- Provider Name
- Andrew Tan
- Credential
- DO
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 593 Eddy St, Providence, RI 02903-4923
- Phone Number
- 401-793-2695
- Fax Number
- 401-444-4165
- Primary Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 12, 2021
- Last Update Date
- January 2, 2026
- Certification Date
- January 2, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 593 Eddy St
Providence, RI 02903-4923 - City
- Providence
- State
- Rhode Island
- Zip
- 02903-4923
- Phone Number
- 401-793-2695
- Fax Number
- 401-444-4165
Provider Business Mailing Address Details
- Address
- 593 Eddy St
Providence, RI 02903-4923 - City
- Providence
- State
- RI
- Zip
- 02903-4923
- Phone Number
- 401-793-2695
License Information
- License Number (1)
- 1025199
- License State (1)
- MA
- Taxonomy (1)
- Emergency Medicine · 207P00000X
- Taxonomy (2)
- Student in an Organized Health Care Education/Training Program · 390200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Student in an Organized Health Care Education/Training Program providers near Providence, RI
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Frequently Asked Questions
What is the NPI number of Andrew Tan, DO?
The NPI number of Andrew Tan, DO is 1487234647. It was assigned on April 12, 2021 and is currently active in the NPPES registry.
What is the specialty of Andrew Tan, DO?
Andrew Tan, DO is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X), licensed in MA under license number 1025199.
Where does Andrew Tan, DO practice?
The practice location is 593 Eddy St, Providence, RI 02903-4923. The office can be reached at 401-793-2695 (phone) or 401-444-4165 (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 1487234647 directly on the NPPES registry website.