Trevor Phan, MD

Internal Medicine Physician · Fallon, NV

Individual Active NPI

NPI number 1104943356

Practice location

801 E Williams Ave
Fallon, NV 89406-3052
Phone
(702) 453-3799
Fax
(702) 453-5741

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NPI record

NPI
1104943356
Entity type
Individual (Type 1)
Enumeration date
March 23, 2007
Last updated
February 22, 2016
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Internal Medicine Physician Primary 207R00000X 12765 NV
Internal Medicine Physician 207R00000X 111505 CA

Mailing address

PO Box 17976
Reno, NV 89511-1034
Phone
(702) 453-3799
Fax
(702) 453-5741

About Dr. Phan

Trevor Phan, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Internal Medicine Physician (code 207R00000X). The practice location is 801 E Williams Ave, Fallon, NV 89406-3052. The NPI number 1104943356 was assigned on March 23, 2007 and the record was last updated on February 22, 2016.

Dr. Phan lists 2 licenses in the registry: #12765 (NV) for Internal Medicine Physician; #111505 (CA) for Internal Medicine Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Trevor Phan, MD?

The NPI number is 1104943356.

What is the phone number of Dr. Phan?

The phone number listed for the practice location is (702) 453-3799.

Where is Dr. Phan located?

801 E Williams Ave, Fallon, NV 89406-3052.

What is the taxonomy code for Dr. Phan?

The primary taxonomy code is 207R00000X – Internal Medicine Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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