Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1922005362 Deactivated / Inactive NPI Male Practitioner

Dr. Luis Sio Tan , MD

Allergy & Immunology • Phoenix, AZ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Luis Tan has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 30, 2005
NPI Deactivation Date September 10, 2021
Total Practice Duration ~16 Years of Practice (2005 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Luis Tan, MD was a registered Allergy & Immunology practicing in Phoenix, AZ. Throughout an active medical career spanning 16 years, Dr. Tan provided care at the practice location at 3125 N 32ND ST until profile deactivation on 2021-09-10.

Practice Location & Contact Primary Location

Practice Address

3125 N 32nd St
Ste 110

Phoenix, AZ 850186281

Telephone 6029569838
Associated Practice Facility / Clinic
🏢 Desert Cryobank Inc Facility NPI 1629254644

Specialty Benchmarks & Practice Insights

Comparative analytics for Allergy & Immunology in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.3 Yrs
State Avg: 29.7 Yrs
Regional Practice Density
19 Specialists

Practicing in Phoenix, AZ (95 Statewide)

Telehealth Adoption Rate
15.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Allergy & Immunology Primary Specialty

NUCC Taxonomy Code: 207K00000X

State License AZ 3848

An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Sujatha Gunnala , MD

Obstetrics & Gynecology - Reproductive Endocrinology

NPI 1689667032

Doctor of Medicine (M.D.)

NPI 1831206408

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 10, 2021

Record deactivated on September 10, 2021

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 3125 N 32ND ST, STE 110, PHOENIX, AZ 850186281 (Tel: 6029569838)

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Updated Business Mailing Address July 08, 2007

Registered at 3125 N 32ND ST, STE 110, PHOENIX, AZ 850186281 (Tel: 6029569838)

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Provider Name / Credentials Updated July 08, 2007

Recorded as LUIS TAN, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Allergy & Immunology (License #3848 in AZ)

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Initial NPI Registration & Enumeration June 30, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1922005362
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 30, 2005
Last Update: July 08, 2007
Deactivation Date: September 10, 2021

Mailing Address

3125 N 32nd St, Ste 110

Phoenix, AZ 850186281

Phone: 6029569838

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.