Healthcare Provider Details

I. General information

NPI: 1386854446
Provider Name (Legal Business Name): PARTNERS FOR HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2007
Last Update Date: 06/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

908 NEW HAMPSHIRE AVE NW SUITE 200
WASHINGTON DC
20037-2346
US

IV. Provider business mailing address

908 NEW HAMPSHIRE AVE NW SUITE 200
WASHINGTON DC
20037-2346
US

V. Phone/Fax

Practice location:
  • Phone: 202-833-5055
  • Fax: 202-833-5755
Mailing address:
  • Phone: 202-833-5055
  • Fax: 202-833-5755

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: DR. JOHN C PAN
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 202-833-5055