Fan, Katherine W

Fan, Katherine W is an sole proprietor health care provider with primary practice located at 20380 Town Center Ln Ste 215 , Cupertino CA 95014-3250. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is her primary health care specialty. Fan, Katherine W can be contacted via phone (408) 996-7950.

Contact Information

Primary practice address
20380 Town Center Ln Ste 215 Cupertino CA 95014-3250
Phone: (408) 996-7950
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD429247 Pennsylvania
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD429247 Pennsylvania
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X MD429247 Pennsylvania
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X A104114 California

Profile Details

NPI number 1720283294
LBN Legal business name Fan, Katherine W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2007
Last updated Feb 25th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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