Search › Indiana › 2080P0207X
Elaine Fan, MD
NPI 1598297178 · on the registry since 2017
Practice
- Address
- 615 N Michigan St 4th Fl
South Bend, IN 46601 - Phone
- (574) 647-6892
- Fax
- (574) 647-6895
- Organisation at this address
- Beacon Medical Group, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Additional practice sites
- 100 N Mario Capecchi Dr, Salt Lake City, UT
Registry record
- Primary taxonomy
- 2080P0207X
2080P0207X
- Also registered as
- 2080P0207X
- Licence states on file
- IN, UT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-04-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana