Healthcare Provider Details

I. General information

NPI: 1144516345
Provider Name (Legal Business Name): CATHERINE KIM PHAN KARNO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CATHERINE KIM PHAN MD

II. Dates (important events)

Enumeration Date: 06/26/2011
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1281 TERMINAL WAY STE 110
RENO NV
89502-3246
US

IV. Provider business mailing address

PO BOX 33269
PHOENIX AZ
85067-3269
US

V. Phone/Fax

Practice location:
  • Phone: 775-682-0020
  • Fax: 702-995-6509
Mailing address:
  • Phone: 602-406-4786
  • Fax: 916-636-4358

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number17480
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number17480
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: