Healthcare Provider Details
I. General information
NPI: 1932149036
Provider Name (Legal Business Name): THOMAS T CHEN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/07/2006
Last Update Date: 08/14/2025
Certification Date: 04/09/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
14416 W MEEKER BLVD BLDG C
SUN CITY WEST AZ
85375-5284
US
IV. Provider business mailing address
14416 W MEEKER BLVD BLDG C STE 301
SUN CITY WEST AZ
85375
US
V. Phone/Fax
- Phone: 623-876-3880
- Fax: 623-285-2710
- Phone: 623-876-3880
- Fax: 623-285-2710
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RH0003X |
| Taxonomy | Hematology & Oncology Physician |
| License Number | 32325 |
| License Number State | AZ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: