Tan, Walter
Tan, Walter is an individual health care provider with primary practice located at 3000 New Bern Ave Ste 1100 Wpp - Structural Heart, Raleigh NC 27610-1231. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Tan, Walter can be contacted via phone (919) 232-5202.Contact Information
Primary practice address
3000 New Bern Ave Ste 1100 Wpp - Structural Heart
Raleigh NC 27610-1231
Phone: (919) 232-5202
Fax: (919) 231-6334
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 200201012 | North Carolina |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 200201012 | North Carolina |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 200201012 | North Carolina |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 200201012 | North Carolina |
Profile Details
| NPI number | 1821010067 |
|---|---|
| LBN Legal business name | Tan, Walter |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2006 |
| Last updated | Mar 24th, 2015 - about 9 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 | 1821010067 | NPPES |
| North Carolina | Other | 131VT | BCBSNC |
| North Carolina | Other | P00418889 | BCBSNC |
| North Carolina | Other | 190783 | BCBSNC |
| North Carolina | MEDICAID | 89131VT | BCBSNC |
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