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Luis S Tan

• Male

Medical Specialty

• Allergy immunology
• Internal Medicine
• Pediatric Medicine

Professional ID

• NPI: 1922005362
• PECOS ID: 8224102637
• Enrollment ID: I20080804000120
• Credential(MD, DO, DPM):
• Medical School:
• Medical School Graduation Year: 1956

Medical Practices

• Organization Name: Medical Group Ltd.
• Group Practice ID assigned by PECOS: 5193899508
• Number of Group Practice member: 0

Location

• Address1: 3125 N 32nd St
• Address2: Suite 110
• City: Phoenix
• State: Arizona
• Zip Code: 85018
• Phone Number: (602)956-9838

Medicare

• Medicare Assignment: Yes
• Report Quality of Care to Physician Quality Reporting System (PQRS):
• Used Electronic health record (EHR):