Pan, Tianli

Pan, Tianli is an sole proprietor health care provider with primary practice located at 20103 Lake Chabot Rd , Castro Valley CA 94546-5305. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Pan, Tianli can be contacted via phone (510) 727-3256.

Contact Information

Primary practice address
20103 Lake Chabot Rd Castro Valley CA 94546-5305
Phone: (510) 727-3256
Fax: (510) 727-3107
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A91025 California
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X A910225 California

Profile Details

NPI number 1578783791
LBN Legal business name Pan, Tianli
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 27th, 2007
Last updated Jul 21st, 2022 - about 2 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 1578783791 NPPES
California Other A91025 STATE LICENSE

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