Tan, Hiediliza Y

Tan, Hiediliza Y is an sole proprietor health care provider with primary practice located at 907 E Lamar Alexander Pkwy , Maryville TN 37804-5015. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is her primary health care specialty. Tan, Hiediliza Y can be contacted via phone (865) 983-7211.

Contact Information

Primary practice address
907 E Lamar Alexander Pkwy Maryville TN 37804-5015
Phone: (865) 983-7211
Fax: (865) 273-1755
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 36002 Tennessee
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 36002 Tennessee

Profile Details

NPI number 1306810395
LBN Legal business name Tan, Hiediliza Y
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2006
Last updated Oct 7th, 2011 - about 13 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306810395 NPPES
Tennessee MEDICAID 3872046

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