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NPI Code Detail

MEDICARE: DR. YAN CHEN MD, PHD

MEDICARE:  DR. YAN  CHEN  MD, PHD
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
1207RG0100XGastroenterology Physician2004007950MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184627101
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. YAN CHEN MD, PHD
Provider Business Mailing Address
First Line : 17501 E 40 HWY
Second Line : STE 213A
City : INDEPENDENCE
State : MO
Zip : 64055-6445
Country : US
Telephone Number : 816-478-4887
Fax Number : 816-478-7222
Provider Business Practice Location Address
First Line : 3800 S WHITNEY AVE
Second Line : # 200
City : INDEPENDENCE
State : MO
Zip : 64055-6765
Country : US
Telephone Number : 816-478-4887
Fax Number : 816-478-7222
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 07/17/2025

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Directions to “ DR. YAN CHEN MD, PHD” Practice Location

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