Samuel C Pan, MD
Internal Medicine, Infectious Disease in Waterbury, Connecticut
1871728741- Practice location
- 160 Robbins St Ste 2, Waterbury, CT 06708-2652
- Phone
- 203-756-8021
- Fax
- 203-596-9038
- Last updated
- January 26, 2021
Samuel C Pan is an Internal Medicine, Infectious Disease based in Waterbury, CT. Samuel C Pan practices in Waterbury, CT and has the professional credentials of MD. The NPI Number for Samuel C Pan is 1871728741 and holds a License No. A120617 (CA). The current practice location address for Samuel C Pan is 160 Robbins St Ste 2, Waterbury, CT 06708-2652 and can be reached out via phone at 203-756-8021 and via fax at 203-596-9038.
Provider Profile Details
- NPI Number
- 1871728741
- Provider Name
- Samuel C Pan
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 160 Robbins St Ste 2, Waterbury, CT 06708-2652
- Phone Number
- 203-756-8021
- Fax Number
- 203-596-9038
- Primary Taxonomy
- Internal Medicine, Infectious Disease · 207RI0200X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 21, 2009
- Last Update Date
- January 26, 2021
- Certification Date
- January 26, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 160 Robbins St Ste 2
Waterbury, CT 06708-2652 - City
- Waterbury
- State
- Connecticut
- Zip
- 06708-2652
- Phone Number
- 203-756-8021
- Fax Number
- 203-596-9038
Provider Business Mailing Address Details
- Address
- 160 Robbins St Ste 2
Waterbury, CT 06708-2652 - City
- Waterbury
- State
- CT
- Zip
- 06708-2652
- Phone Number
- 203-756-8021
- Fax Number
- 203-596-9038
License Information
- License Number (1)
- A120617
- License State (1)
- CA
- Taxonomy (1)
- Internal Medicine, Infectious Disease · 207RI0200X
- License Number (2)
- 61141
- License State (2)
- CT
- Taxonomy (2)
- Internal Medicine, Infectious Disease · 207RI0200X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Internal Medicine, Infectious Disease providers near Waterbury, CT
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- Dr. Bethel G Shiferaw, MDInternal Medicine, Infectious Disease · NPI 1821432113
- Dr. Lydia Aoun-Barakat, MDInternal Medicine, Infectious Disease · NPI 1033183355
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Frequently Asked Questions
What is the NPI number of Samuel C Pan, MD?
The NPI number of Samuel C Pan, MD is 1871728741. It was assigned on May 21, 2009 and is currently active in the NPPES registry.
What is the specialty of Samuel C Pan, MD?
Samuel C Pan, MD is registered under the primary taxonomy Internal Medicine, Infectious Disease (code 207RI0200X), licensed in CA under license number A120617.
Where does Samuel C Pan, MD practice?
The practice location is 160 Robbins St Ste 2, Waterbury, CT 06708-2652. The office can be reached at 203-756-8021 (phone) or 203-596-9038 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1871728741 directly on the NPPES registry website.