Provider Demographics
NPI:1285737692
Name:TAN, HO TSUAN (MD)
Entity type:Individual
Prefix:
First Name:HO
Middle Name:TSUAN
Last Name:TAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:919 CLAY ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94108-1520
Mailing Address - Country:US
Mailing Address - Phone:415-781-8881
Mailing Address - Fax:415-781-5118
Practice Address - Street 1:919 CLAY ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94108-1520
Practice Address - Country:US
Practice Address - Phone:415-781-8881
Practice Address - Fax:415-781-5118
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-07
Last Update Date:2020-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA32071207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A320710Medicare ID - Type Unspecified