Individual provider · Type 1 NPI

Chung Ning Tan, MD

Family Medicine Physician · Fort Wayne, IN

NPI number 1619357779 Active

Practice location

7230 Engle Rd
Fort Wayne, IN 46804

Fax (260) 234-5410

Mailing address

1200 W White River Blvd, Provider Enrollment Department
Muncie, IN 47303-4988

Other practice locations

  • 750 Broadway Ste 350, Fort Wayne, IN 46802-1412 · (260) 423-2675
  • 3909 New Vision Dr, Fort Wayne, IN 46845-1725 · (260) 469-6610

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X11018187 (IN)
Family Medicine Physician Primary 207Q00000X01077240A (IN)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1619357779

Chung Ning Tan, MD's National Provider Identifier is 1619357779, issued on Jun 4, 2015. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Oct 7, 2022.