Pan, Calvin Q
Pan, Calvin Q is an individual health care provider with primary practice located at 13221 41St Ave , Flushing NY 11355-3627. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Pan, Calvin Q can be contacted via phone (718) 888-7728.Contact Information
Primary practice address
13221 41St Ave
Flushing NY 11355-3627
Phone: (718) 888-7728
Fax: (718) 888-7738
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 203898 | New York |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 203898 | New York |
Profile Details
| NPI number | 1427062108 |
|---|---|
| LBN Legal business name | Pan, Calvin Q |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2006 |
| Last updated | Apr 19th, 2011 - about 15 years ago |
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 | 1427062108 | NPPES |
| New York | MEDICAID | 01883870 |
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