Individual
DR. STEVEN MAN CHEONG CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D./PH.D.
Contact information
Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 714-8288
Mailing address
19057 STEVENS CREEK BLVD., SUITE 105, CUPERTINO, CA 95014
(650) 714-8288
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
A109021
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A869820
MEDICARE
CA
05
—
00A896920
—
CA
Enumeration date
06/19/2008
Last updated
06/04/2014
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