Individual
DR. KEITH TED CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
533 S 336TH ST STE C, FEDERAL WAY, WA 98003-6329
(253) 661-1700
(253) 661-4565
Mailing address
533 S 336TH ST STE C, FEDERAL WAY, WA 98003-6329
(253) 661-1700
(253) 661-4565
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD60384220
WA
2085R0202X
Diagnostic Radiology Physician
ML 60286792
WA
2085R0204X
Vascular & Interventional Radiology Physician
MD60384220
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2019235
—
WA
Enumeration date
03/28/2012
Last updated
01/13/2026
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