National Provider Identifier Database

ROGER FAN, MD – NPI #1508928128
Cardiovascular Disease

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.


Contact Information

ROGER FAN, MD
HEALTH SCIENCES CTR
T16-080
STONY BROOK, NY11794-0001
Phone: 631-444-1226
Fax:
Website:
Specialty Taxonomy Code
* Cardiovascular Disease 207RC0000X

* Indicates primary specialty

NPI Profile & details for ROGER FAN

NPI Number 1508928128
Credentials MD
Entity Individual
Enumeration date 12/14/2006
Last updated 09/15/2008 - About 18 years ago
Sole proprietor1 No
Identifiers
  • PA License #: MT184514
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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