Organization
SAMUEL CHAN, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL CHAN M.D. (MEDICAL DOCTOR)
(301) 797-8822
Entity
Organization
Contact information
Practice address
324 E ANTIETAM ST, SUITE 200, HAGERSTOWN, MD 21740-5754
(301) 797-8822
(301) 790-3748
Mailing address
324 E ANTIETAM ST, SUITE 200, HAGERSTOWN, MD 21740-5754
(301) 797-8822
(301) 790-3748
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
D36655
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CJ4601
RAILROAD MEDICARE
MD
01
—
KDZ2SA
CAREFIRST BLUECROSS BLUES
MD
01
—
W111
BLUE SHIELD OF D.C.
—
Enumeration date
10/12/2007
Last updated
10/12/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us