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Dr. Katherine Hubert Chan, MD
Pediatric Urology Physician in Boston, Massachusetts
NPI 1205041274

Katherine Hubert Chan is a Pediatric Urology Physician based in Indianapolis, MA and is specialized in Pediatric Urology. Katherine Hubert Chan practices in Boston, MA and has the professional credentials of MD. The NPI Number for Katherine Hubert Chan is 1205041274 and holds a License No. 57. 008401 (Massachusetts).

The current practice location address for Katherine Hubert Chan is 300 Longwood Ave, Boston, MA and can be reached out via phone at 617-355-6326.

Location: 300 Longwood Ave, Boston, MA, 46219-4959
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205041274
Provider Name
Katherine Hubert Chan
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
300 Longwood Ave, Boston, MA, 46219-4959
Phone Number
617-355-6326
Fax Number
Provider Enumeration Date
05/13/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000824262 01 IN ANTHEM BCBS PIN
201182650 05 IN
institution
Provider Business Practice Location Address Details
Address
300 Longwood Ave
City
Boston
State
Massachusetts
Zip
02115-5724
Phone Number
617-355-6326
Fax Number
person
Provider Business Mailing Address Details
Address
300 Longwood Ave
City
Boston
State
Massachusetts
Zip
02115-5724
Phone Number
617-355-6326
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
01072814A (Indiana)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
Pediatric Urology
Taxonomy
2088P0231X
License No.
57. 008401 (Ohio)
Definition
Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).
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