Individual
MICHAEL PHILIP CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2345 SPRUCE GOOSE ST # C234, LAS VEGAS, NV 89135-2625
(408) 646-0984
Mailing address
2345 SPRUCE GOOSE ST # C234, LAS VEGAS, NV 89135-2625
(408) 646-0984
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01077874A
IN
207R00000X
Internal Medicine Physician
Primary
18478
NV
207R00000X
Internal Medicine Physician
ME131185
FL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
01077874A
IN
207RS0012X
Sleep Medicine (Internal Medicine) Physician
ME131185
FL
Other
Enumeration date
03/20/2012
Last updated
06/02/2020
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