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Contact Information

CHUNG NING TAN, MD
7230 ENGLE RD
FORT WAYNE, IN46804
 Phone: 260-234-5400
 Fax: 260-234-5410
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for CHUNG NING TAN · (Male)

NPI # 1619357779
Status Active
Credentials MD
Entity Individual
Enumeration date 06/04/2015
Last updated 10/07/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01077240A
  • IN License # 11018187
  • IN Medicaid 201297950
  • IN Other 000001176909 ANTHEM BCBS
Hospital affiliation(s)
  • PARKVIEW HUNTINGTON HOSPITAL - (Acute Care)
    2001 STULTS RD
    HUNTINGTON, IN 46750
  • PARKVIEW LAGRANGE HOSPITAL - (Critical Access)
    207 N TOWNLINE RD
    LAGRANGE, IN 46761
  • PARKVIEW REGIONAL MEDICAL CENTER - (Acute Care)
    11109 PARKVIEW PLAZA DRIVE
    FORT WAYNE, IN 46845
  • PARKVIEW WHITLEY HOSPITAL - (Acute Care)
    1260 E SR 205
    COLUMBIA CITY, IN 46725
  • WABASH COUNTY HOSPITAL - (Critical Access)
    710 N EAST ST
    WABASH, IN 46992
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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