National Provider Identifier
Phillip Pan, MD
Phillip Pan, MD is listed in the NPPES registry with a primary specialty of Neonatal-Perinatal Medicine Physician in Niskayuna, NY and a listed phone number of (518) 346-9535.
Source: public NPPES record, last updated September 12, 2023. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1972525202
- Provider Type
- Individual
- Primary Specialty
- Neonatal-Perinatal Medicine Physician
- Enumeration Date
- July 24, 2006
- Last Updated
- September 12, 2023
Practice Location
- 2210 Troy RD
- Niskayuna, NY 12309-4725
Phone: (518) 346-9535
Specialties
- Neonatal-Perinatal Medicine Physician (2080N0001X)
Endpoints
- payer.credentialing@sphp.com
Direct Messaging Address | Direct | Other | Albany, NY 12208
Sphp Payer Credentialing
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Biography
Dr. Phillip Pan is an MD in neonatal-perinatal medicine in New York’s Capital Region. His CMS NPPES profile identifies neonatal-perinatal medicine as his clinical focus and lists an Albany practice location at St. Peter’s Hospital, part of St. Peter’s Health Partners.
Full Record
- NPI
- 1972525202
- Entity Type
- Individual
- Last Name
- Pan
- First Name
- Phillip
- Name Prefix
- Dr.
- Credential
- MD
- Mailing Street Address
- 2210 Troy RD
- Mailing City
- Niskayuna
- Mailing State
- NY
- Mailing ZIP Code
- 12309-4725
- Mailing Country
- US
- Practice Street Address
- 2210 Troy RD
- Practice City
- Niskayuna
- Practice State
- NY
- Practice ZIP Code
- 12309-4725
- Practice Country
- US
- Practice Phone
- (518) 346-9535
- Enumeration Date
- July 24, 2006
- Last Updated
- September 12, 2023
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- September 12, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Neonatal-Perinatal Medicine Physician (2080N0001X)