MEDICARE: MICHAEL PHILIP 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	207R00000X	Internal Medicine Physician	01077874A	IN
2	207R00000X	Internal Medicine Physician	ME131185	FL
3	207RS0012X	Sleep Medicine (Internal Medicine) Physician	01077874A	IN
4	207RS0012X	Sleep Medicine (Internal Medicine) Physician	ME131185	FL
5	207R00000X	Internal Medicine Physician	18478	NV

General Provider Information

NPI Number	:	1700151958
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL PHILIP CHAN MD

Provider Business Mailing Address
First Line	:	2345 SPRUCE GOOSE ST # C234
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89135-2625
Country	:	US
Telephone Number	:	408-646-0984
Fax Number	:

Provider Business Practice Location Address
First Line	:	2345 SPRUCE GOOSE ST # C234
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89135-2625
Country	:	US
Telephone Number	:	408-646-0984
Fax Number	:

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

Provider Enumeration Date	:	03/20/2012
Last Update Date	:	06/02/2020

Similar Medicare Providers

1720602188 — MICHAEL P CHAN, MD, MS, RST, INC
Practice Location Address:

2345 SPRUCE GOOSE ST # C234
LAS VEGAS, NV
89135-2625

Practice Phone: 408-646-0984
Practice Fax:

1548842537 — ECHO THERAPY, LLC
Practice Location Address:

2345 SPRUCE GOOSE ST APT C327
LAS VEGAS, NV
89135-2625

Practice Phone: 724-272-1759
Practice Fax:

1942883954 — OSP LLC
Practice Location Address:

2345 SPRUCE GOOSE ST APT C427
LAS VEGAS, NV
89135-2625

Practice Phone: 240-271-5730
Practice Fax:

1598333635 — SEEDS OF SUCCESS THERAPY GROUP LLC
Practice Location Address:

2345 SPRUCE GOOSE ST APT C427
LAS VEGAS, NV
89135-2625

Practice Phone: 240-271-5730
Practice Fax:

1720053374 — JONG S JIN DDS
Practice Location Address:

2625 S RAINBOW BLVD STE D100
LAS VEGAS, NV
89146-0050

Practice Phone: 702-227-5800
Practice Fax: 702-227-5801

1033121199 — SEAN D HAMPTON DC
Practice Location Address:

2625 S RAINBOW BLVD STE C102
LAS VEGAS, NV
89146-5181

Practice Phone: 702-387-4577
Practice Fax: 702-873-2480

Directions to “ MICHAEL PHILIP CHAN MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.