Individual
DR. GOLDEN PAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1155 MILL STREET, RENO, NV 89520-1576
(775) 982-8100
(775) 982-4161
Mailing address
PO BOX 39000, DEPT 34548, SAN FRANCISCO, CA 94139-0001
(775) 823-1999
(775) 823-1996
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
13079
NV
2085R0202X
Diagnostic Radiology Physician
G51110
CA
2085R0202X
Diagnostic Radiology Physician
G9508
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G511100
BS
CA
05
—
00G511100
—
CA
Enumeration date
01/26/2006
Last updated
01/27/2012
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