Khee H Tan, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A39236 Issued in CA

Practice address

1436 S San Gabriel Blvd
San Gabriel, CA 91776-3656

Phone

(626) 280-7055

Fax

(626) 280-4389

NPI assigned

Feb 24, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487030400000",
    "number": "1881720092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1436 S SAN GABRIEL BLVD",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763656",
            "telephone_number": "626-554-1028",
            "fax_number": "626-280-4389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1436 S SAN GABRIEL BLVD",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763656",
            "telephone_number": "626-280-7055",
            "fax_number": "626-280-4389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "KHEE",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-24",
        "last_updated": "2017-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A39236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A392360",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard C Ta
• Elaine Tam
• Sanchi Tam
• Scott Tamas, LAC.
• Tan Ki Hung LLC
• Shirley Z. Tan, MD
• Teresa Tan, OTRIL
• Tieng Meng Tan, O.D.
• Dao Tang
• Muh-Yau Tang, MD

• Internal Medicine Physician in San Gabriel, CA
• Providers in San Gabriel, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.