Gan, Fang-Yun
Gan, Fang-Yun is an individual health care provider with primary practice located at 21 Crossroads Dr Ste 100, Owings Mills MD 21117-5441. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Medicine, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Nuclear Medicine is her primary health care specialty. Gan, Fang-Yun can be contacted via phone (410) 356-8186.Contact Information
Primary practice address
21 Crossroads Dr Ste 100
Owings Mills MD 21117-5441
Phone: (410) 356-8186
Fax: (410) 356-4180
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Nuclear Medicine | 207U00000X | D0061235 | Maryland |
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | D0061235 | Maryland |
Profile Details
NPI number | 1891756052 |
---|---|
LBN Legal business name | Gan, Fang-Yun |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 29th, 2006 |
Last updated | Jul 9th, 2007 - about 18 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1891756052 | NPPES |
Maryland | Other | J062 | B/C B/S |
Maryland | Other | KA80 | B/C B/S |
Maryland | Other | 2849 | B/C B/S |
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