Individual
SHANNON E. PAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3301 LANCASTER PIKE STE 9, WILMINGTON, DE 19805-1436
(302) 320-4569
(302) 656-5611
Mailing address
200 HYGEIA DRIVE, CCHS PHYSICIAN CONTRACTING, SUITE 2300, NEWARK, DE 19718-2200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA11204300
NJ
207R00000X
Internal Medicine Physician
Primary
C1-0012632
DE
208000000X
Pediatrics Physician
C1-0012632
DE
Other
Enumeration date
04/16/2014
Last updated
04/22/2025
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