Individual
DR. MICHAEL MAONAN PAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 PASTEUR DR, PALO ALTO, CA 94304-2203
(650) 723-4000
Mailing address
300 PASTEUR DR, PALO ALTO, CA 94304-2203
(650) 723-4000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
A188081
CA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
A188081
CA
208600000X
Surgery Physician
125076513
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/18/2015
Last updated
09/08/2025
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