MEDICARE: HONGYU PAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	A107088	CA

General Provider Information

NPI Number	:	1932315579
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HONGYU PAN MD

Provider Business Mailing Address
First Line	:	2574 SAN BRUNO AVE
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94134-1505
Country	:	US
Telephone Number	:	415-391-9686
Fax Number	:	415-352-5063

Provider Business Practice Location Address
First Line	:	2574 SAN BRUNO AVE
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94134-1505
Country	:	US
Telephone Number	:	415-391-9686
Fax Number	:	415-352-5063

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/14/2007
Last Update Date	:	01/16/2017

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Directions to “ HONGYU PAN MD” Practice Location

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