Individual
ELLIE EIEI CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2335 E KASHIAN LN, SUITE 301, FRESNO, CA 93701-2230
(559) 256-9680
(559) 256-9681
Mailing address
2625 E DIVISADERO ST, FRESNO, CA 93721-1431
(559) 443-2682
(559) 443-2681
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A110958
CA
207RH0000X
Hematology (Internal Medicine) Physician
A110958
CA
207RH0003X
Hematology & Oncology Physician
Primary
A110958
CA
207RX0202X
Medical Oncology Physician
A110958
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LL1774
NV MEDICAL LIC
NV
Enumeration date
07/10/2007
Last updated
01/10/2022
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