Eric Fan, M.D. LLC
NPI 1700100781ActiveOrganization· Internal Medicine· New Haven, CT
Internal Medicine in New Haven, Connecticut, registered in NPPES in March 2010. The authorized official on file is Eric Fan, M.D., Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1700100781 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 20, 2010 |
| Last updated in NPPES | Mar 20, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 038797 | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CT) |
|---|
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