Iain Fan is a Diagnostic Radiology in Clarks Summit, Pennsylvania. Iain Fan practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Iain Fan is 1487760351. The last update date is 2013-12-20.
Iain Fan's current location address is 105 Julius St, Clarks Summit, Pennsylvania. You can contact this provider via phone number 5705863675. The mailing address for Iain Fan is 105 Julius St, Clarks Summit, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Iain Fan |
|---|---|
| Address | 105 Julius St, Clarks Summit, Pennsylvania |
| Phone Number | 5705863675 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1487760351 |
|---|---|
| Provider Enumeration Date | 2006-08-22 |
| Last Updated Date | 2013-12-20 |
Provider Mailing Address Detail
| Address | 105 Julius St |
|---|---|
| City | Clarks Summit |
| State | Pennsylvania (PA) |
| Post Code | 184118922 |
| Phone Number | 5705863675 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | OS009864L |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1697024 | PA | -- |
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What is the unique identifier code issued to Iain Fan by the Centers for Medicare & Medicaid Services?
The Iain Fan has been assigned the NPI (National Provider Identifier) 1487760351. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Iain Fan's facilities are situated?
The facilities of Iain Fan are physically located at the following address: 105 Julius St, Clarks Summit, PA, 184118922.
What is Iain Fan's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Iain Fan is Diagnostic Radiology, and the taxonomy code that categorizes this field of expertise is 2085R0202X.
On what date did the Iain Fan receive its 1487760351 assignment from the Centers for Medicare & Medicaid Services?
The Iain Fan was assigned its 1487760351 by the Centers for Medicare & Medicaid Services on 2006-08-22.
When was the information pertaining to Iain Fan most recently updated or revised?
The details related to Iain Fan, including its address, specialty, and other relevant information, were last updated or revised on 2013-12-20.