Ethan Phan, MD is a student in an organized health care education training program in New Orleans, LA with 8 years of experience. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Ethan Phan, MD NPI is 1083076947. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduation Year:2016
The provider's business location address is:
2014 S RENDON ST
NEW ORLEANS, LA
ZIP 70125-640
Phone: (916) 284-2041
The NPI 1083076947 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 3/22/2016 and was last updated on 12/20/2021.