MEDICARE: KATHERINE MAW CHAN 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	390200000X	Student in an Organized Health Care Education/Training Program
2	207Q00000X	Family Medicine Physician	A189462	CA

General Provider Information

NPI Number	:	1073253027
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE MAW CHAN MD

Provider Business Mailing Address
First Line	:	1001 POTRERO AVE
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94110-3518
Country	:	US
Telephone Number	:	628-206-8000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1560 SLOAT BLVD STE 333
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94132-1223
Country	:	US
Telephone Number	:	415-353-9339
Fax Number	:

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

Provider Enumeration Date	:	03/29/2022
Last Update Date	:	06/20/2025

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Directions to “ KATHERINE MAW CHAN MD” Practice Location

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