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Individual

QINSHI PAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2450 ASHBY AVE, BERKELEY, CA 94705-2067
(510) 204-3977
(510) 204-5429
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(510) 204-3977
(510) 204-5429

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
A147721
CA
208M00000X
Hospitalist Physician
Primary
A147721
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A147721
STATE MEDICAL LICENSE
CA
Enumeration date
10/09/2014
Last updated
06/01/2020
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