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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHAN TANDON, M.D.

Deactivated Sole Proprietor

SHAN TANDON, M.D. is a Student (Health Education/Training) healthcare provider located in PUEBLO, Colorado. NPI 1578131223 is deactivated in the NPPES registry. Verify at CMS.

Student (Health Education/Training) · PUEBLO, CO

This NPI has been deactivated. The record was deactivated on September 13, 2021. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1578131223
Provider Type
Individual
Gender
Male
NPI Issued
Jun 17, 2021 (0.24109589041096 yrs)
Last Updated
Mar 27, 2023
Deactivated
Sep 13, 2021
Sole Proprietor
Yes

Practice Information

Address
400 W 16TH ST
PUEBLO, CO, 810032781
Browse CO providers · Browse ZIP 81003
Phone
7195957585
Primary Specialty
Student (Health Education/Training)
390200000X

Other Student (Health Education/Training) Providers in PUEBLO, CO

Name Credential NPI
DR. LISA HAMILTON MD 1144603374
DR. COLE SEIFERS D.O. 1669903365
SIERRA BERGER 1699287011
GRACE LAILA WOERN 1871005249
KAYLA SCHAFF 1346752763
NICOLETTE JADE SAINT JOHN 1255843678
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.