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NPI Code Detail

MEDICARE: SHERMAN CHAN, MD PC

MEDICARE: SHERMAN CHAN, MD PC
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
12085R0001XRadiation Oncology Physician

General Provider Information

NPI Number : 1801676838
Entity Type Code : Organization
Provider Name (Legal Business Name) : SHERMAN CHAN, MD PC
Provider Business Mailing Address
First Line : 82 GREENWAY N
Second Line :
City : FOREST HILLS
State : NY
Zip : 11375-6045
Country : US
Telephone Number : 917-912-7994
Fax Number :
Provider Business Practice Location Address
First Line : 2101 AVENUE X
Second Line :
City : BROOKLYN
State : NY
Zip : 11235-2910
Country : US
Telephone Number : 718-517-2900
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. SHERMAN CHAN
Credential : MD
Telephone Number : 917-912-7994
Provider Enumeration Date : 10/05/2023
Last Update Date : 10/05/2023

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