Individual provider · Type 1 NPI

Kong M. Tan, MD

Diagnostic Radiology Physician · San Rafael, CA

NPI number 1508940594 Active

Practice location

99 Montecillo Rd
San Rafael, CA 94903-3308

Mailing address

1800 Harrison St Fl 7
Oakland, CA 94612-3429

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XG29022 (CA)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1508940594

Kong M. Tan, MD's National Provider Identifier is 1508940594, issued on Oct 25, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in San Rafael, CA. The record was last updated on Jul 8, 2007.