Tan, Brent Thomas
Tan, Brent Thomas is an individual health care provider with primary practice located at 300 Pasteur Dr Rm L235 Department Of Pathology, Stanford CA 94305-2200. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Informatics, Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Anatomic Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology is his primary health care specialty. Tan, Brent Thomas can be contacted via phone (650) 723-7211.Contact Information
Primary practice address
300 Pasteur Dr Rm L235 Department Of Pathology
Stanford CA 94305-2200
Phone: (650) 723-7211
Fax: (650) 725-7409
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Informatics | 207ZC0008X | A86418 | California |
| Allopathic & Osteopathic Physicians / Hematology | 207ZH0000X | A86418 | California |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | A86418 | California |
| Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | A86418 | California |
Profile Details
| NPI number | 1134271232 |
|---|---|
| LBN Legal business name | Tan, Brent Thomas |
| Credentials | M.D., PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 17th, 2007 |
| Last updated | Mar 13th, 2024 - about 9 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134271232 | NPPES |
| California | MEDICAID | 00A864180 |
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