Doctor Name: | POLIANA CHU TAN |
NPI Number: | 1336313154 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 44421 |
Business Practice Address: | 8328 E. Hartford Dr. Scottsdale, AZ - 85255 |
Business Phone Number: | 4802149720 |
Business Fax Number: | 4802149722 |
Mailing Address: | 8328 E. Hartford Dr., SCOTTSDALE |
State: | AZ |
Postal Code: | 85255 |
Phone Number: | 5016868000 |
Fax Number: | |
NPI Enumeration Date: | 04/14/2008 |
NPI Last Update Date: | 02/04/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 44421 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AZ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |