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NPI Code Detail

MEDICARE: DR. JOSHUA CHAN DO, MBA

MEDICARE: DR. JOSHUA CHAN DO, MBA
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
1207Q00000XFamily Medicine Physician05-49779KS

General Provider Information

NPI Number : 1346828670
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSHUA CHAN DO, MBA
Provider Business Mailing Address
First Line : 2090 W DARTMOUTH ST
Second Line :
City : OLATHE
State : KS
Zip : 66061-6869
Country : US
Telephone Number : 913-445-8300
Fax Number : 913-303-5525
Provider Business Practice Location Address
First Line : 2090 W DARTMOUTH ST
Second Line :
City : OLATHE
State : KS
Zip : 66061-6869
Country : US
Telephone Number : 913-355-8300
Fax Number : 913-303-5525
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2021
Last Update Date : 05/25/2026

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