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NPI Code Detail

MEDICARE: RYAN CHEN

MEDICARE: RYAN CHEN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1073457099
Entity Type Code : Individual
Provider Name (Legal Business Name) : RYAN CHEN
Provider Business Mailing Address
First Line : 301 E WENDOVER AVE STE 400
Second Line :
City : GREENSBORO
State : NC
Zip : 27401-1207
Country : US
Telephone Number : 336-832-3150
Fax Number :
Provider Business Practice Location Address
First Line : 301 E WENDOVER AVE STE 400
Second Line :
City : GREENSBORO
State : NC
Zip : 27401-1207
Country : US
Telephone Number : 336-832-3150
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2026
Last Update Date : 04/18/2026

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Directions to “ RYAN CHEN ” Practice Location

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