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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KATHERINE W FAN, M.D.

Active Sole Proprietor

DR. KATHERINE W FAN, M.D. is a Psychiatric Neurology healthcare provider located in CUPERTINO, California. NPI 1720283294 is currently active in the NPPES registry. Verify at CMS.

Psychiatric Neurology · CUPERTINO, CA

Registration Details

NPI Number
1720283294
Provider Type
Individual
Gender
Female
NPI Issued
Jun 15, 2007 (19.20963626416 yrs)
Last Updated
Feb 25, 2010
Licenses
MD429247 (PA)
MD429247 (PA)
MD429247 (PA)
A104114 (CA)
Sole Proprietor
Yes

Practice Information

Address
20380 TOWN CENTER LN STE 215
CUPERTINO, CA, 950143250
Browse CA providers · Browse ZIP 95014
Phone
4089967950
Primary Specialty
Psychiatric Neurology
2084P0804X
Additional Specialty
Psychiatry
Additional Specialty
Psychiatric Neurology
Additional Specialty
Psychiatric Neurology

Other Psychiatric Neurology Providers in CUPERTINO, CA

Name Credential NPI
GARRETT L. WATANABE MD 1851477376
MARINA A. ZELENKO MD 1912084864
MICHELLE FERRARI MD 1407920705
ERIC SIMON MCDONALD M.D. 1679928733
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.