Healthcare Provider Details

I. General information

NPI: 1477738144
Provider Name (Legal Business Name): CONNIE HAI-YEE CHAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/31/2007
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 2ND ST NE
WASHINGTON DC
20002-8100
US

IV. Provider business mailing address

700 2ND ST NE
WASHINGTON DC
20002-8100
US

V. Phone/Fax

Practice location:
  • Phone: 703-965-7878
  • Fax:
Mailing address:
  • Phone: 703-359-7878
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberD0080079
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: