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DR. HENRY JINGYUAN FAN M.D.
NPI 1023742277
Student in an Organized Health Care Education/Training Program in Norwalk, CT

Active since July 13, 2022
34 MAPLE STREET, NORWALK, CT 06850(203) 852-2023 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 7, 2023, Jul 13, 2022 (2 updates tracked since 2022).

About Dr. Henry Jingyuan Fan M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. HENRY JINGYUAN FAN M.D. (NPI 1023742277) is an individual student in an organized health care education/training program in Norwalk, Connecticut and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1023742277
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. HENRY JINGYUAN FANCredential: M.D.
Location Address34 MAPLE STREETNorwalk, CT 06850-3815
Mailing Address515 West Ave, Nb421Norwalk, CT 06850 · (347) 556-3878
Phone(203) 852-2023
Sole ProprietorYes
Enumeration DateJuly 13, 2022
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
NPPES CertifiedMarch 7, 2023
✔ NPI 1023742277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
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.
34 MAPLE STREET, Norwalk, CT 06850
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Other Names 1

Former Name (1)Jingyuan Fan

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MOHAMMED ALAQUILY M.D.
Student in an Organized Health Care Education/Training Program
34 MAPLE STREET
NORWALK, CT 06850
Western Connecticut Planning Region (203) 852-2000
SEADON PATRICK PEREIRA M.D.
Student in an Organized Health Care Education/Training Program
34 MAPLE STREET, NORWALK HOSPITAL
NORWALK, CT 06850
Western Connecticut Planning Region (203) 852-2303
MS. ELLEN KATHRYN GRACE APRN
Nurse Practitioner (Psychiatric/Mental Health)
34 MAPLE STREET
NORWALK, CT 06850
Western Connecticut Planning Region (203) 327-7672
JENNY JOSEPH M.B.B.S.
Student in an Organized Health Care Education/Training Program
34 MAPLE STREET
NORWALK, CT 06850
Western Connecticut Planning Region (203) 852-2303
FERNANDO LOUZADA STRUFALDI M.D.
Student in an Organized Health Care Education/Training Program
34 MAPLE STREET
NORWALK, CT 06850
Western Connecticut Planning Region (203) 852-2303
SHIRA NICOLE ROSOPH M.D.
Student in an Organized Health Care Education/Training Program
34 MAPLE STREET
NORWALK, CT 06850
Western Connecticut Planning Region (203) 852-2303
SYED ALISHAN NASIR M.D.
Student in an Organized Health Care Education/Training Program
34 MAPLE STREET, DEPT. INTERNAL MEDICINE
NORWALKC, CT 06850
Western Connecticut Planning Region (203) 852-2025
HIYAM ALI DAUD M.D.
Student in an Organized Health Care Education/Training Program
34 MAPLE STREET
NORWALK, CT 06850
Western Connecticut Planning Region (203) 852-2000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Henry Fan's NPI number?

The NPI number for Henry Fan is 1023742277. It was assigned to this individual provider in the NPPES registry on July 13, 2022. The provider is also known as Jingyuan Fan.

Where is Henry Fan located?

Henry Fan practices at 34 Maple Street, Norwalk, CT 06850. The listed phone number is (203) 852-2023.

What is Henry Fan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Henry Fan was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.