Provider Demographics
NPI:1053633388
Name:TAN, IK LIN (MBBS)
Entity type:Individual
Prefix:DR
First Name:IK LIN
Middle Name:
Last Name:TAN
Suffix:
Gender:F
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 W UNIVERSITY PKWY
Mailing Address - Street 2:APT 1205
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21210-3305
Mailing Address - Country:US
Mailing Address - Phone:443-799-4888
Mailing Address - Fax:410-502-6736
Practice Address - Street 1:600 N WOLFE ST
Practice Address - Street 2:MEYER 627C
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287-0005
Practice Address - Country:US
Practice Address - Phone:443-799-4888
Practice Address - Fax:410-502-6737
Is Sole Proprietor?:No
Enumeration Date:2010-03-01
Last Update Date:2010-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744R1102XOther Service ProvidersSpecialistResearch Study