Provider Demographics
NPI:1326841057
Name:PAN, XUANKANG (MD)
Entity type:Individual
Prefix:DR
First Name:XUANKANG
Middle Name:
Last Name:PAN
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:KONG
Other - Middle Name:
Other - Last Name:PAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2012 W 25TH ST APT 301
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44113-4147
Mailing Address - Country:US
Mailing Address - Phone:510-283-1861
Mailing Address - Fax:
Practice Address - Street 1:MAYO CLINIC 200 FIRST ST SW
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55905-0001
Practice Address - Country:US
Practice Address - Phone:507-284-2511
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-28
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program