Individual
HAI PAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2342 N BROAD ST FL 2, PHILADELPHIA, PA 19132-4503
(832) 523-4987
Mailing address
2342 N BROAD ST FL 2, PHILADELPHIA, PA 19132-4503
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD493865
PA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/27/2023
Last updated
06/21/2026
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