Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kevin Charles Tan, MD

Individual provider Emergency Medicine Physician · NPI 1669165809

Dr. Kevin Charles Tan, MD is an Emergency Medicine in Philadelphia, Pennsylvania. Graduated from State University of New York at Stony Brook, School of Medicine in 2023, 3 years ago. Licensed in Pennsylvania.

Years since qualifying
3
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
PA
In the registry since
2023
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3401 N Broad St
Philadelphia, PA 19140-5103
Phone: (215) 707-5030
Fax: (215) 707-3494
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence MD493317 (PA)

Record details

NPI number1669165809
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 2, 2023
Last updated in NPPESMay 11, 2026
Certification dateMay 11, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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