Individual provider · Type 1 NPI

Ian Pan, MD

Diagnostic Radiology Physician · Dallas, TX

NPI number 1073140786 Active

Practice location

2825 Oak Lawn Ave Unit 192749
Dallas, TX 75219-4688

Call (510) 683-9500 Map

Fax (877) 880-2039

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202X86020 (CT)
Diagnostic Radiology Physician 2085R0202X4301518665 (MI)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Diagnostic Radiology Physician 2085R0202X036.177005 (IL)
Diagnostic Radiology Physician Primary 2085R0202X1024505 (MA)
Diagnostic Radiology Physician 2085R0202X2025-02936 (NC)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1073140786

Ian Pan, MD's National Provider Identifier is 1073140786, issued on Mar 24, 2020. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Dallas, TX. The record was last updated on Sep 9, 2026.