Doctor Name: | DR. MARK S FAN |
NPI Number: | 1164685632 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | MD60122545 |
Business Practice Address: | 1515 116th Ave Ne Ste 205 Bellevue, WA - 980043811 |
Business Phone Number: | 3108663707 |
Business Fax Number: | 4259994858 |
Mailing Address: | Po Box 741, MERCER ISLAND |
State: | WA |
Postal Code: | 980400741 |
Phone Number: | |
Fax Number: | 4259994858 |
NPI Enumeration Date: | 07/05/2008 |
NPI Last Update Date: | 04/12/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | MD60122545 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |