Pan, Calvin Q

Pan, Calvin Q is an individual health care provider with primary practice located at 13221 41St Ave , Flushing NY 11355-3627. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Pan, Calvin Q can be contacted via phone (718) 888-7728.

Contact Information

Primary practice address
13221 41St Ave Flushing NY 11355-3627
Fax: (718) 888-7738
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 203898 New York
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 203898 New York

Profile Details

NPI number 1427062108
LBN Legal business name Pan, Calvin Q
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Apr 19th, 2011 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1427062108 NPPES
New York MEDICAID 01883870

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