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Individual

DR. BENJAMIN Q CHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4900 W CRAIG RD, LAS VEGAS, NV 89130-2737
(725) 269-3368
(725) 392-5350
Mailing address
102 WOODMONT BLVD STE 600, NASHVILLE, TN 37205-5250
(888) 987-1151

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16230
NV
207Q00000X
Family Medicine Physician
2000157
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1205920675
NV
01
16230
STATE LICENSE
NV
05
B5069
NM
Enumeration date
10/03/2006
Last updated
06/06/2025
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