Individual
RODRIGO C CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6709 E SOUTHERN AVE, MESA, AZ 85206-3738
(480) 773-2220
(480) 378-2440
Mailing address
6709 E SOUTHERN AVE, MESA, AZ 85206-3738
(480) 773-2220
(480) 378-2440
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
29915
AZ
207RC0001X
Clinical Cardiac Electrophysiology Physician
29915
AZ
207U00000X
Nuclear Medicine Physician
29915
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
631508
—
AZ
01
—
P00086778
RAIL ROAD MEDICARE
AZ
Enumeration date
03/08/2006
Last updated
10/08/2025
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