| Dr Raymundo T Tan, MD | |
|
419 5th St Ne, Jamestown, ND 58401-3300 | |
| (701) 252-1050 | |
| (701) 952-3265 |
| Full Name | Dr Raymundo T Tan |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 419 5th St Ne, Jamestown, North Dakota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700869229 | NPI | - | NPPES |
| 18514 | Medicaid | ND | |
| 01008891 | Other | PREFERRED ONE | |
| 16-11656 | Other | MEDICA | |
| 7207820 | Medicaid | SD | |
| 47607 | Other | HEALTHPARTNERS | |
| 13243 | Other | ND | BLUE SHIELD |
| 46031641458401C003 | Other | TRICARE | |
| 719609 | Other | AMERICA'S PPO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 4669 (North Dakota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Raymundo T Tan, MD 419 5th St Ne, Jamestown, ND 58401-3300 Ph: (701) 252-1050 | Dr Raymundo T Tan, MD 419 5th St Ne, Jamestown, ND 58401-3300 Ph: (701) 252-1050 |
Gary L Wade, MD Radiology Medicare: Medicare Enrolled Practice Location: 2422 20th St Sw, Jamestown, ND 58401 Phone: 701-952-4854 |