HomeNPI Verification
NPI Verification
National Provider Identifier: 1255919346
Michelle Dayoung Baek Tan, DO
Individual Provider
Credentials
DO
Primary Specialty
Family Medicine
Code: 207Q00000X
All Specialties (2)
General Practice
Code: 208D00000X
Family Medicine
Code: 207Q00000X
Practice Address
10624 S EASTERN AVE STE A-955
HENDERSON, NV 890522982
NPI Enumeration Date
March 30, 2021
NPI Number
1255919346Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.
View on CMS NPPES Registry