person
Ethan Phan, MD
Student in an Organized Health Care Education/Training Program in New Orleans, Louisiana
NPI 1083076947

Ethan Phan is a Student in an Organized Health Care Education/Training Program based in New Orleans, LA. Ethan Phan practices in New Orleans, LA and has the professional credentials of MD. The NPI Number for Ethan Phan is 1083076947 and holds a License No. (Louisiana).

The current practice location address for Ethan Phan is 2014 S Rendon St, New Orleans, LA and can be reached out via phone at 916-284-2041.

Location: 2014 S Rendon St, New Orleans, LA, 70125-3640
person
Provider Profile Details
NPI Number
1083076947
Provider Name
Ethan Phan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2014 S Rendon St, New Orleans, LA, 70125-3640
Phone Number
916-284-2041
Fax Number
Provider Enumeration Date
03/22/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2414461 05 LA
institution
Provider Business Practice Location Address Details
Address
2014 S Rendon St
City
State
Zip
70125-3640
Phone Number
916-284-2041
Fax Number
person
Provider Business Mailing Address Details
Address
2014 S Rendon St
City
State
Zip
70125-3640
Phone Number
916-284-2041
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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