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

Individual provider Registered Nurse · NPI 1326397431

Sovannary Tan is a Certified Registered Nurse Anesthetist (CRNA) in Bronx, New York. Qualified in 2012, 14 years ago. Practices with United Health Services Hospitals, Inc, a 472-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
14
Licensed in
NY
In the registry since
2012
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Practice location Address checks out

111 E 210th St
Bronx, NY 10467
Phone: (718) 920-4316
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 57020 (NY)

Record details

NPI number1326397431
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 5, 2012
Last updated in NPPESSeptember 5, 2012

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice United Health Services Hospitals, Inc. — 472 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Bronx