Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MIRANDA TAN, DO
ActiveMIRANDA TAN, DO is a Sports Medicine (IM) healthcare provider located in STANFORD, California. NPI 1376862821 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (IM) · STANFORD, CA
Registration Details
- NPI Number
- 1376862821
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 24, 2010 (16.263730216433 yrs)
- Last Updated
- Apr 30, 2024
- Licenses
-
20A20250 (CA)270140 (NY)270140 (NY)20A20250 (CA)270140 (NY)
Practice Information
- Address
-
300 PASTEUR DRSTANFORD, CA, 943052200Browse CA providers · Browse ZIP 94305
- Phone
- 6507234000
- Primary Specialty
-
Sports Medicine (IM)
207RS0012X
- Additional Specialty
- Internal Medicine
- Additional Specialty
- Critical Care Medicine
- Additional Specialty
- Critical Care Medicine
- Additional Specialty
- Pulmonary Disease
Other Sports Medicine (IM) Providers in STANFORD, CA
| Name | Credential | NPI |
|---|---|---|
| ANSTELLA DOLORES ROBINSON | MD | 1023158730 |
| PAHNWAT TONYA TAWEESEDT | MD | 1093255432 |
| TESS WHEELER KNUDSON-FITZPATRICK | MD | 1154853190 |
| YOEL DAN GREEN | MD | 1841045705 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.