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NPI Code Detail

MEDICARE: DR. KEITH WEI CHAN M.D.

MEDICARE: DR. KEITH WEI CHAN M.D.
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
1207XX0005XSports Medicine (Orthopaedic Surgery) PhysicianA106438CA

General Provider Information

NPI Number : 1548452782
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KEITH WEI CHAN M.D.
Provider Business Mailing Address
First Line : 3838 CALIFORNIA ST RM 715
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94118-1509
Country : US
Telephone Number : 415-668-8010
Fax Number : 415-752-2560
Provider Business Practice Location Address
First Line : 3838 CALIFORNIA ST RM 715
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94118-1509
Country : US
Telephone Number : 415-668-8010
Fax Number : 415-752-2560
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2007
Last Update Date : 08/01/2022

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Directions to “ DR. KEITH WEI CHAN M.D.” Practice Location

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