Provider Demographics
NPI:1447419817
Name:PAN, JOHN CHENG YANG (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:CHENG YANG
Last Name:PAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1263 E ARQUES AVE
Mailing Address - Street 2:PHYSICAL MEDICINE & REHABILITATION
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94085-4701
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1263 E ARQUES AVE
Practice Address - Street 2:PHYSICAL MEDICINE & REHABILITATION
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94085-4701
Practice Address - Country:US
Practice Address - Phone:408-530-2900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-02
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA1120122081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine