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DR. SHI-YU TAN MD
NPI 1205098654
General Practice in Ypsilanti, MI

Active since June 26, 2008
3150 PACKARD RD, YPSILANTI, MI 48197(734) 276-7096 Get Directions Write a Review

NPPES record last updated: July 14, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Shi-yu Tan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SHI-YU TAN MD (NPI 1205098654) is an individual general practice provider in Ypsilanti, Michigan, licensed in Michigan (4301097627) and active in the NPI registry since June 2008.

NPPES Registry Identity

NPI1205098654
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. SHI-YU TANCredential: MD
Location Address3150 PACKARD RDYpsilanti, MI 48197-1994
Mailing Address3889 Mill Pond LnAnn Arbor, MI 48108-9413 · (734) 276-7096
Phone(734) 276-7096
Sole ProprietorYes
Enumeration DateJune 26, 2008
Last NPPES UpdateJuly 14, 2016
✔ NPI 1205098654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in MI · 4301097627
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License BP1-0031849 (TX)
3150 PACKARD RD, Ypsilanti, MI 48197
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Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VITALIS IM
Social Worker (Clinical)
3150 PACKARD RD
YPSILANTI, MI 48197
Washtenaw County (248) 581-8777
ANGELA MASINDE MA, LLPC, ATR-P
Counselor (Professional)
3150 PACKARD RD
YPSILANTI, MI 48197
Washtenaw County (734) 203-0183
LINCOLN HOME HEALTH SERVICES, LLC
Home Health
3150 PACKARD RD
YPSILANTI, MI 48197
Washtenaw County (313) 415-0058
MS. STACEY MICHELLE MACK MSW
Social Worker (Clinical)
3150 PACKARD RD
YPSILANTI, MI 48197
Washtenaw County (734) 879-0162
JENNIFER BLOUGH LLPC
Counselor (Professional)
3150 PACKARD RD
YPSILANTI, MI 48197
Washtenaw County (734) 203-0183
DEEPWATER COUNSELING, PLLC
Counselor (Professional)
3150 PACKARD RD
YPSILANTI, MI 48197
Washtenaw County (734) 203-0183
AMBER NICOLE HUGHSON LLMSW
Social Worker (Clinical)
3150 PACKARD RD
YPSILANTI, MI 48197
Washtenaw County (248) 581-8777
VISITING PHYSICIANS ASSOCIATES PC
General Practice
3150 PACKARD RD
YPSILANTI, MI 48197
Washtenaw County (734) 477-9030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shi-yu Tan's NPI number?

The NPI number for Shi-yu Tan is 1205098654. It was assigned to this individual provider in the NPPES registry on June 26, 2008.

Where is Shi-yu Tan located?

Shi-yu Tan practices at 3150 Packard Rd, Ypsilanti, MI 48197. The listed phone number is (734) 276-7096.

What is Shi-yu Tan's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Shi-yu Tan was last updated on July 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.