Individual
DR. PETER T. KAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-3603
(409) 772-0330
(409) 772-1742
Mailing address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-0517
(409) 772-0330
(409) 772-1742
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
ME111547
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004674800
—
FL
01
—
14JP0
BLUE CROSS BLUE SHIELD
FL
Enumeration date
09/27/2007
Last updated
08/23/2021
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