MEDICARE: DR. HOWARD CHEN 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
1	207Q00000X	Family Medicine Physician	11150	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	11832595	OTHER		CAQH
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841201530
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HOWARD CHEN M.D.

Provider Business Mailing Address
First Line	:	6490 S MCCARRAN BLVD STE 41
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89509-6126
Country	:	US
Telephone Number	:	775-451-2436
Fax Number	:	775-384-2142

Provider Business Practice Location Address
First Line	:	6490 S MCCARRAN BLVD
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89509-6165
Country	:	US
Telephone Number	:	775-451-2436
Fax Number	:	775-384-2142

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

Provider Enumeration Date	:	08/10/2006
Last Update Date	:	02/25/2021

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