# EDWARD CHAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1831357292
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 60364515 | WA | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | Q5986 | TX | Yes |

## Other

- **Enumeration date:** 06/01/2008
- **Last updated:** 10/20/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 352687301 | — | TX |
| 05 | — | 352687302 | — | TX |
| 01 | — | 8FL015 | BCBS | TX |
| 01 | — | 8GD799 | BCBS | TX |