Giac Chan Nguyen Tan, MD
Internal Medicine in Waterbury, Connecticut
1962585042- Practice location
- 171 Grandview Ave, Ste 105, Waterbury, CT 06708-2519
- Phone
- 203-694-8200
- Fax
- —
- Last updated
- February 16, 2022
Giac Chan Nguyen Tan is an Internal Medicine based in Waterbury, CT. Giac Chan Nguyen Tan practices in Waterbury, CT and has the professional credentials of MD. The NPI Number for Giac Chan Nguyen Tan is 1962585042 and holds a License No. 028148 (CT). The current practice location address for Giac Chan Nguyen Tan is 171 Grandview Ave, Ste 105, Waterbury, CT 06708-2519 and can be reached out via phone at 203-694-8200.
Provider Profile Details
- NPI Number
- 1962585042
- Provider Name
- Giac Chan Nguyen Tan
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 171 Grandview Ave, Ste 105, Waterbury, CT 06708-2519
- Phone Number
- 203-694-8200
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 23, 2006
- Last Update Date
- February 16, 2022
- Certification Date
- February 16, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 171 Grandview Ave
Ste 105
Waterbury, CT 06708-2519 - City
- Waterbury
- State
- Connecticut
- Zip
- 06708-2519
- Phone Number
- 203-694-8200
Provider Business Mailing Address Details
- Address
- 171 Grandview Ave
Ste 105
Waterbury, CT 06708-2519 - City
- Waterbury
- State
- CT
- Zip
- 06708-2519
- Phone Number
- 203-755-2214
- Fax Number
- 203-596-1133
License Information
- License Number (1)
- 028148
- License State (1)
- CT
- Taxonomy (1)
- Emergency Medicine, Undersea and Hyperbaric Medicine · 207PE0005X
- License Number (2)
- 028148
- License State (2)
- CT
- Taxonomy (2)
- Internal Medicine · 207R00000X · Primary
- License Number (3)
- 028148
- License State (3)
- CT
- Taxonomy (3)
- Emergency Medicine · 207P00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Giac Chan Nguyen Tan, MD?
The NPI number of Giac Chan Nguyen Tan, MD is 1962585042. It was assigned on October 23, 2006 and is currently active in the NPPES registry.
What is the specialty of Giac Chan Nguyen Tan, MD?
Giac Chan Nguyen Tan, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in CT under license number 028148.
Where does Giac Chan Nguyen Tan, MD practice?
The practice location is 171 Grandview Ave, Ste 105, Waterbury, CT 06708-2519. The office can be reached at 203-694-8200 (phone).
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 1962585042 directly on the NPPES registry website.