Individual
DR. FRED T CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D53430
MD
208M00000X
Hospitalist Physician
D53430
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KJ15-61489401
CAREFIRST OF MD GBMC
MD
01
—
S1380001
CAREFIRST REGIONAL GBMC
MD
Enumeration date
07/18/2006
Last updated
07/13/2007
Update your record
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