Provider Demographics
NPI:1285816652
Name:TAN, PATRICIA MARIE NGKAION (MD)
Entity type:Individual
Prefix:
First Name:PATRICIA MARIE
Middle Name:NGKAION
Last Name:TAN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:410 N SCOTTSDALE RD STE 1500
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85288-7094
Mailing Address - Country:US
Mailing Address - Phone:602-255-7076
Mailing Address - Fax:844-651-3845
Practice Address - Street 1:1090 S GILBERT RD STE 106-128
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85296-3438
Practice Address - Country:US
Practice Address - Phone:619-648-1247
Practice Address - Fax:888-354-0043
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-28
Last Update Date:2025-11-10
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Provider Licenses
StateLicense IDTaxonomies
AZ41909207R00000X
MI4301111153207R00000X
NM2022-0923207R00000X
WA60947868207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine