Individual
DR. THOMAS K CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
198 CANAL STREET, SUITE 602, NEW YORK, NY 10013
(212) 693-1800
Mailing address
PO BOX 130370, 198 CANAL STREET SUITE 602, NEW YORK, NY 10013
(212) 693-1800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
177032
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
177032
NY
207RP1001X
Pulmonary Disease Physician
Primary
177032
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01471645
—
NY
Enumeration date
11/16/2006
Last updated
11/04/2010
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