Active NPIIndividual providerSole proprietor

Dr. Edwin K Chan, MD

Specialist in Flushing, New York

NPI Number1982664611
Practice location
13640 39TH Ave, Suite 6GB, Flushing, NY 11354-5536
Fax
718-321-8273
Last updated
February 18, 2016

Edwin Kenneth Chan is a Specialist based in Flushing, NY. Edwin Kenneth Chan practices in Flushing, NY and has the professional credentials of MD. The NPI Number for Edwin Kenneth Chan is 1982664611 and holds a License No. 222486 (NY). The current practice location address for Edwin Kenneth Chan is 13640 39TH Ave, Suite 6GB, Flushing, NY 11354-5536 and can be reached out via phone at 718-321-8246 and via fax at 718-321-8273.

Provider Profile Details

NPI Number
1982664611
Provider Name
Edwin Kenneth Chan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
13640 39TH Ave, Suite 6GB, Flushing, NY 11354-5536
Phone Number
718-321-8246
Fax Number
718-321-8273
Primary Taxonomy
Specialist · 174400000X
Sole Proprietor
Yes
Other Names
Dr. Edwin K Chan, MD (Professional Name)
Provider Enumeration Date
March 25, 2006
Last Update Date
February 18, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
13640 39TH Ave
Suite 6GB
Flushing, NY 11354-5536
Zip
11354-5536
Phone Number
718-321-8246
Fax Number
718-321-8273
Flushing, NY 11354Get directions →

Provider Business Mailing Address Details

Address
Po Box 2625
New York, NY 10009-8925
City
New York
State
NY
Zip
10009-8925
Phone Number
718-321-8246
Fax Number
718-321-8273

License Information

License Number
222486
License State
NY
Taxonomy
Specialist · 174400000X · 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 Dr. Edwin K Chan, MD?

The NPI number of Dr. Edwin K Chan, MD is 1982664611. It was assigned on March 25, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Edwin K Chan, MD?

Dr. Edwin K Chan, MD is registered under the primary taxonomy Specialist (code 174400000X), licensed in NY under license number 222486.

Where does Dr. Edwin K Chan, MD practice?

The practice location is 13640 39TH Ave, Suite 6GB, Flushing, NY 11354-5536. The office can be reached at 718-321-8246 (phone) or 718-321-8273 (fax).

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 1982664611 directly on the NPPES registry website.

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