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Kong M. Tan, MD
Diagnostic Radiology Physician in San Rafael, California
NPI 1508940594

Kong M. Tan is a Diagnostic Radiology Physician based in Oakland, CA and is specialized in Diagnostic Radiology. Kong M. Tan practices in San Rafael, CA and has the professional credentials of MD. The NPI Number for Kong M. Tan is 1508940594 and holds a License No. G29022 (California).

The current practice location address for Kong M. Tan is 99 Montecillo Rd, San Rafael, CA and can be reached out via phone at 415-444-2000.

Location: 99 Montecillo Rd, San Rafael, CA, 94612-3429
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508940594
Provider Name
Kong M. Tan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
99 Montecillo Rd, San Rafael, CA, 94612-3429
Phone Number
415-444-2000
Fax Number
Provider Enumeration Date
10/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G290220 05 CA
institution
Provider Business Practice Location Address Details
Address
99 Montecillo Rd
City
San Rafael
State
California
Zip
94903-3308
Phone Number
415-444-2000
Fax Number
person
Provider Business Mailing Address Details
Address
99 Montecillo Rd
City
San Rafael
State
California
Zip
94903-3308
Phone Number
415-444-2000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
G29022 (California)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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