Phan, Dan
Phan, Dan is an individual health care provider with primary practice located at 2680 S Val Vista Dr Ste 132 , Gilbert AZ 85295-2155. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Phan, Dan can be contacted via phone (480) 253-5618.Contact Information
Primary practice address
2680 S Val Vista Dr Ste 132
Gilbert AZ 85295-2155
Phone: (480) 253-5618
Fax: (480) 507-5677
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 58530 | Arizona |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | A105477 | California |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 49316 | Tennessee |
Profile Details
| NPI number | 1689899601 |
|---|---|
| LBN Legal business name | Phan, Dan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 16th, 2007 |
| Last updated | Nov 22nd, 2023 - about last year |
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 | 1689899601 | NPPES |
| California | Other | GN065W | MEDICARE PTAN-GEN |
| California | Other | GN065V | MEDICARE PTAN-GEN |
| California | Other | DN065U | MEDICARE PTAN-GEN |
| California | Other | DN065Z | MEDICARE PTAN-GEN |
| California | MEDICAID | 1689899601 | MEDICARE PTAN-GEN |
| California | Other | DN065S | MEDICARE PTAN-GEN |
| California | Other | DN065T | MEDICARE PTAN-GEN |
| California | Other | DN065X | MEDICARE PTAN-GEN |
| California | Other | DN065Y | MEDICARE PTAN-GEN |
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