MEDICARE: DR. BELINDA MARIE CHAN DPM

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
1	213ES0103X	Foot & Ankle Surgery Podiatrist	16005311	IL
2	213ES0103X	Foot & Ankle Surgery Podiatrist	36.003474	OH

General Provider Information

NPI Number	:	1891995718
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BELINDA MARIE CHAN DPM

Provider Business Mailing Address
First Line	:	9145 N. DIXIE DR
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45414
Country	:	US
Telephone Number	:	937-426-9500
Fax Number	:	855-482-2337

Provider Business Practice Location Address
First Line	:	7111 N. MAIN STREET SUITE 60
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45415-3142
Country	:	US
Telephone Number	:	937-426-9500
Fax Number	:	855-482-2337

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2007
Last Update Date	:	06/16/2026

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