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

Kenneth Tan, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1336843507

Kenneth Tan, MD is a Student in an Organized Health Care Education/Training Program in San Jose, California. Registered with an NPI since 2023.

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

751 S Bascom Ave
San Jose, CA 95128-2699
Phone: (408) 885-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1336843507
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 29, 2023
Last updated in NPPESMarch 29, 2023
Certification dateMarch 29, 2023

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