Active NPIIndividual providerSole proprietor

Michael P Chan, MD

Internal Medicine in Las Vegas, Nevada

NPI Number1700151958
Practice location
2345 Spruce Goose St # C234, Las Vegas, NV 89135-2625
Fax
—
Last updated
June 2, 2020

Michael Philip Chan is an Internal Medicine based in Las Vegas, NV. Michael Philip Chan practices in Las Vegas, NV and has the professional credentials of MD. The NPI Number for Michael Philip Chan is 1700151958 and holds a License No. 01077874A (IN). The current practice location address for Michael Philip Chan is 2345 Spruce Goose St # C234, Las Vegas, NV 89135-2625 and can be reached out via phone at 408-646-0984.

Provider Profile Details

NPI Number
1700151958
Provider Name
Michael Philip Chan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2345 Spruce Goose St # C234, Las Vegas, NV 89135-2625
Phone Number
408-646-0984
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
Yes
Provider Enumeration Date
March 20, 2012
Last Update Date
June 2, 2020
Certification Date
June 2, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
2345 Spruce Goose St # C234
Las Vegas, NV 89135-2625
State
Nevada
Zip
89135-2625
Phone Number
408-646-0984
Las Vegas, NV 89135Get directions →

Provider Business Mailing Address Details

Address
2345 Spruce Goose St # C234
Las Vegas, NV 89135-2625
City
Las Vegas
State
NV
Zip
89135-2625
Phone Number
408-646-0984

License Information

License Number (1)
01077874A
License State (1)
IN
Taxonomy (1)
Internal Medicine · 207R00000X
License Number (2)
ME131185
License State (2)
FL
Taxonomy (2)
Internal Medicine · 207R00000X
License Number (3)
01077874A
License State (3)
IN
Taxonomy (3)
Internal Medicine, Sleep Medicine · 207RS0012X
License Number (4)
ME131185
License State (4)
FL
Taxonomy (4)
Internal Medicine, Sleep Medicine · 207RS0012X
License Number (5)
18478
License State (5)
NV
Taxonomy (5)
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Michael P Chan, MD?

The NPI number of Michael P Chan, MD is 1700151958. It was assigned on March 20, 2012 and is currently active in the NPPES registry.

What is the specialty of Michael P Chan, MD?

Michael P Chan, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in IN under license number 01077874A.

Where does Michael P Chan, MD practice?

The practice location is 2345 Spruce Goose St # C234, Las Vegas, NV 89135-2625. The office can be reached at 408-646-0984 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1700151958 directly on the NPPES registry website.

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