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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225020647 | NPPES |
| Illinois | Other | 0090000854 | BCBS GROUP NUMBER |
| Illinois | MEDICAID | 100462470 | BCBS GROUP NUMBER |
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