Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 2003013816 | MO |
N | 208600000X | Surgeon | 2003013816 | MO |
N | 208200000X | Surgeon | 32623 | AL |
N | 208600000X | Surgeon | 32623 | AL |
N | 208200000X | Surgeon | MD0000056704 | TN |
N | 208600000X | Surgeon | MD0000056704 | TN |
N | 2086X0206X | Surgical Oncologist | 32623 | AL |
Y | 2086X0206X | Surgical Oncologist | MD0000056704 | TN |
NPI | 1467518266 |
---|---|
Provider Name | Dr. Marcus Chuan Beng Tan |
First Address | Nashville, TN 37204-4701 |
Second Address | Nashville, TN 37232-1405 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/12/2006 |
Last Update Date | 15/10/2020 |