Individual
DR. PETER GAR-JUN CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1125 W JEFFERSON ST STE 201, FRANKLIN, IN 46131
(317) 668-2200
(317) 668-2210
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
224550
MA
207RC0000X
Cardiovascular Disease Physician
01074447A
IN
207RI0011X
Interventional Cardiology Physician
Primary
01074447A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201244670
—
IN
Enumeration date
12/10/2007
Last updated
01/27/2021
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