1457181992 NPI number — MR. EUGENE RICHARD TAN YAP M.D.

Table of content: MR. EUGENE RICHARD TAN YAP M.D. (NPI 1457181992)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1457181992 NPI number — MR. EUGENE RICHARD TAN YAP M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
YAP
Provider First Name:
EUGENE RICHARD
Provider Middle Name:
TAN
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1457181992
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/18/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1455 N HIGH ST.
Provider Second Line Business Mailing Address:
UNIT 430
Provider Business Mailing Address City Name:
COLUMBUS
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
43201
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
614-405-1821
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
410 W. 10TH AVE
Provider Second Line Business Practice Location Address:
RADIATION ONCOLOGY DEPARTMENT
Provider Business Practice Location Address City Name:
COLUMBUS
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43210
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
614-366-5120
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/07/2024

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 390200000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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