Healthcare Provider Details

I. General information

NPI: 1134819089
Provider Name (Legal Business Name): TENZIN TAMDIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2023
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HOSPITAL DR
COLUMBIA MO
65212-1000
US

IV. Provider business mailing address

24 HOSPITAL AVENUE, KATHLEEN BARRY, DANBURY HOSPITAL INTERNAL MEDICINE DEPARTMENT
DANBURY CT
06810-6099
US

V. Phone/Fax

Practice location:
  • Phone: 573-882-0598
  • Fax: 573-882-0598
Mailing address:
  • Phone: 203-739-8105
  • Fax: 203-749-9092

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: