Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Trevor Phan, MD

Individual provider Internal Medicine Physician · NPI 1104943356

Dr. Trevor Phan, MD is an Internal Medicine in Fallon, Nevada. Qualified in 2005, 21 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California and Nevada.

Years since qualifying
21
Licensed in
CA, NV
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

801 E Williams Ave
Fallon, NV 89406-3052
Phone: (702) 453-3799
Fax: (702) 453-5741
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 12765 (NV)
Internal Medicine Physician Taxonomy 207R00000X · Licence 111505 (CA)

Record details

NPI number1104943356
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 23, 2007
Last updated in NPPESFebruary 22, 2016
Mailing addressPo Box 17976, Reno, NV 89511-1034

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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