Individual
DR. FANG-YUN GAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
21 CROSSROADS DR, STE 100, OWINGS MILLS, MD 21117-5441
(410) 356-8186
(410) 356-4180
Mailing address
10373A REISTERSTOWN RD, OWINGS MILLS, MD 21117-3617
(410) 356-8186
(410) 356-4180
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
D0061235
MD
207U00000X
Nuclear Medicine Physician
ME114540
FL
2085R0202X
Diagnostic Radiology Physician
D0061235
MD
2085R0202X
Diagnostic Radiology Physician
Primary
ME114540
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2849
B/C B/S
DC
01
—
J062
B/C B/S
MD
01
—
KA80
B/C B/S
MD
Enumeration date
03/29/2006
Last updated
07/13/2026
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