Individual
CAROLYN ANNE CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3131 HARVEY AVE STE 104, CINCINNATI, OH 45229-3006
(513) 585-8227
Mailing address
3131 HARVEY AVE STE 104, CINCINNATI, OH 45229-3006
(513) 585-8227
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.132746
OH
207R00000X
Internal Medicine Physician
64945
CT
2084P0800X
Psychiatry Physician
Primary
35.132746
OH
Other
Enumeration date
04/01/2015
Last updated
07/11/2023
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