Tan Tan, Mely

Tan Tan, Mely is an individual health care provider with primary practice located at 8242 Calumet Ave , Munster IN 46321-1758. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Tan Tan, Mely can be contacted via phone (219) 836-5738.

Contact Information

Primary practice address
8242 Calumet Ave Munster IN 46321-1758
Phone: (219) 836-5738
Fax: (219) 836-5782
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 01031700A Indiana
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01031700A Indiana

Profile Details

NPI number 1225020647
LBN Legal business name Tan Tan, Mely
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2005
Last updated Nov 4th, 2013 - about 11 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 1225020647 NPPES
Illinois Other 0090000854 BCBS GROUP NUMBER
Illinois MEDICAID 100462470 BCBS GROUP NUMBER

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