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Individual
MOR-DAK SUSAN CHAN
Active
Individual
MOR-DAK SUSAN CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G71263
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G712630
BLUE SHIELD OF CA
CA
05
—
00G712630
—
CA
01
—
00G712630303
CALOPTIMA
CA
05
—
100507181
—
NV
Enumeration date
07/10/2006
Last updated
08/15/2024
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