Individual
GUANG FAN
Active
Individual
GUANG FAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
Primary
MD23079
OR
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD23079
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
228925
—
OR
Enumeration date
08/03/2006
Last updated
07/16/2007
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