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

Ruby R Tan, MD

Individual provider Pediatrics Physician · NPI 1124278833

Ruby R Tan, MD is a Pediatric Medicine in Colonial Heights, Virginia. Qualified in 1991, 35 years ago. Licensed in Virginia.

Years since qualifying
35
Licensed in
VA
In the registry since
2008
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

301 Jennick Dr # A
Colonial Heights, VA 23834-4904
Phone: (804) 524-0055
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 0101242398 (VA)

Record details

NPI number1124278833
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 30, 2008
Last updated in NPPESSeptember 30, 2008
Mailing address301 Jennick Dr # A, Colonial Heights, VA 23834-4904

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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