Elaine M. Fan
MD | Pediatric Hematology-Oncology | Female
Elaine M. Fan, MD is a Salt Lake City, Utah based Pediatric doctor with medical specialization in
Pediatric Hematology-Oncology. Elaine M. Fan is also known as
Mengchen Fan.
Current practice location of Elaine M. Fan is
100 N Mario Capecchi Dr, Salt Lake City, Utah - 84113-1103. She can be contacted on phone at
801-662-4700.
Elaine M. Fan is a sole proprietor of her business.
NPI number (Unique professional ID) for Elaine M. Fan is
1598297178 which was assigned by NPPES on 01 Apr, 2017 and it was last updated on 05 Jun, 2020.
Elaine M. Fan license number is
11731052-1205 for Pediatrics Pediatric Hematology-Oncology (2080P0207X) in Utah.
Elaine M. Fan is trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Complete Profile:
Elaine M. Fan basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Hematology-Oncology |
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| Provider Name : | Elaine M. Fan |
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| Other Name : | Mengchen Fan |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Elaine M. Fan address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 100 N Mario Capecchi Dr
Salt Lake City, UT, 84113-1103
United States |
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| Phone Number : | 801-662-4700 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which 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). NPI details are as mentioned below.
| NPI Number : | 1598297178 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 01 Apr, 2017 |
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| Last Updated On : | 05 Jun, 2020 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Elaine M. Fan are as mentioned. Primary taxonomy code for Elaine M. Fan, MD is
2080P0207X (Pediatrics Pediatric Hematology-Oncology).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0207X | Pediatrics Pediatric Hematology-Oncology | Yes | 11731052-1205 | UT |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 100 N Mario Capecchi Dr
Salt Lake City, UT, 84113-1103
United States |
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| Phone Number : | 801-662-4700 |
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Business Location:
Patients can refer following map for directions to
Elaine M. Fan practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.