Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
FAN MO, DO
ActiveFAN MO, DO is a Sports Medicine (IM) healthcare provider located in SUNNYVALE, California. NPI 1083111405 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (IM) · SUNNYVALE, CA
Registration Details
- NPI Number
- 1083111405
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 11, 2018 (8.3813293326813 yrs)
- Last Updated
- Jun 23, 2025
- Licenses
-
20A17752 (CA)20A17752 (CA)
Practice Information
- Address
-
1309 S MARY AVESUNNYVALE, CA, 940873050Browse CA providers · Browse ZIP 94087
- Phone
- 4085233460
- Primary Specialty
-
Sports Medicine (IM)
207RS0012X
- Additional Specialty
- Sports Medicine (IM)
Other Sports Medicine (IM) Providers in SUNNYVALE, CA
| Name | Credential | NPI |
|---|---|---|
| VADIM KAGRAMANOV | MD | 1396792552 |
| MAHESH JAYA SHETTY | MD | 1295954121 |
| DR. ROBERT CHAN ANG | MD | 1225219025 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.