| Domingo C Tan, MD | |
| 
					736 Battlefield Blvd N, Chesapeake, VA 23320-4941  | |
| (757) 312-6124 | |
| (757) 312-6195 | 
| Full Name | Domingo C Tan | 
|---|---|
| Gender | Male | 
| Speciality | Radiology - Diagnostic Radiology | 
| Location | 736 Battlefield Blvd N, Chesapeake, Virginia | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1235147869 | NPI | - | NPPES | 
| 007256850 | Medicaid | VA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 0101023086 (Virginia) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Domingo C Tan, MD Po Box 844527, Boston, MA 02284-4527 Ph: (757) 867-6101  | Domingo C Tan, MD 736 Battlefield Blvd N, Chesapeake, VA 23320-4941 Ph: (757) 312-6124  | 
Dr. Salvador Bernard Trinidad, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 736 Battlefield Blvd N, Radiology Department, Chesapeake, VA 23320 Phone: 757-366-0101 Fax: 757-366-8792  | |
Michael Petruschak, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 736 Battlefield Blvd N, Chesapeake, VA 23320 Phone: 757-312-8121  | |
Sanjay Patel, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 736 Battlefield Blvd N, Chesapeake, VA 23320 Phone: 757-312-6124  | |
Juliana Ballestero,  Radiology Medicare: Accepting Medicare Assignments Practice Location: 736 Battlefield Blvd N, Chesapeake, VA 23320 Phone: 757-312-8121  | |
John Daughdrille, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 736 Battlefield Blvd N, Chesapeake, VA 23320 Phone: 757-312-8121  | |
Dr. Mathew Sinesi, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 736 Battlefield Blvd N, Chesapeake, VA 23320 Phone: 757-312-6294  |