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Christopher Michael Tan

Radiology

Allopathic & Osteopathic Physicians

600 N Wolfe St, Baltimore, MD 21287-0005

PECOS Enrollment

This provider is enrolled in PECOS as CHRISTOPHER TAN.

Based on the most recent information from CMS, provider Christopher Michael Tan is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1588105894
Provider Type
Individual
Full Name
Tan, Christopher Michael
Gender
Male

Sole Proprietor
No
Enumeration Date
3/20/2017
Last Updated
5/31/2022

Contact Information

Practice Location

600 N Wolfe St, Baltimore, MD 21287-0005

(410) 955-5000

Unlisted Fax

Mailing Location

6201 Greenleigh Ave, Middle River, MD 21220-2004

(410) 933-6423

(410) 500-4266

Provider Taxonomies

Code	Description	License
Code 2085R0202X Primary	Description Radiology Allopathic & Osteopathic Physicians	License D93832 Maryland

Christopher Michael Tan

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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Scott, William

Wheeler, Paul

Al-Ibraheemi, Ammar K.