MEDICARE: MS. KAREN C CHANEY MD

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	2084P0800X	Psychiatry Physician	H8056	TX
2	2084P0800X	Psychiatry Physician	27443	AZ

Other Identifiers

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

General Provider Information

NPI Number	:	1063469450
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KAREN C CHANEY MD

Provider Business Mailing Address
First Line	:	3003 N CENTRAL AVE
Second Line	:	SUITE 200
City	:	PHOENIX
State	:	AZ
Zip	:	85012-2902
Country	:	US
Telephone Number	:	602-685-6000
Fax Number	:	602-685-6001

Provider Business Practice Location Address
First Line	:	3118 E MCDOWELL RD
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85008-3742
Country	:	US
Telephone Number	:	602-685-6000
Fax Number	:	602-685-6001

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

Provider Enumeration Date	:	05/30/2006
Last Update Date	:	12/17/2020

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