Individual
IAN CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10565 HOSPITAL WAY, BLDG 647, CARDIOLOGY DEPARTMENT, MATHER, CA 95655
(916) 366-5391
Mailing address
10565 HOSPITAL WAY, BLDG 647, CARDIOLOGY DEPARTMENT, MATHER, CA 95655
(916) 366-5391
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD045837L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001296384
—
PA
Enumeration date
10/04/2006
Last updated
04/26/2011
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