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NPI Code Detail

MEDICARE: DR. WAI-LAM CHAN M.D.

MEDICARE:  DR. WAI-LAM  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
1207Q00000XFamily Medicine PhysicianA74856CA

Other Identifiers

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

General Provider Information

NPI Number : 1891791877
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WAI-LAM CHAN M.D.
Provider Business Mailing Address
First Line : 1431 NORIEGA ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94122-4431
Country : US
Telephone Number : 415-759-3777
Fax Number : 415-759-6368
Provider Business Practice Location Address
First Line : 1431 NORIEGA ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94122-4431
Country : US
Telephone Number : 415-759-3777
Fax Number : 415-759-6368
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2005
Last Update Date : 06/29/2010

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Directions to “ DR. WAI-LAM CHAN M.D.” Practice Location

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