Individual
ADA WAI CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1303 E HERNDON AVE, FRESNO, CA 93720-3309
(559) 450-3130
(559) 450-2035
Mailing address
PO BOX 26750, FRESNO, CA 93729-6750
(559) 455-4042
(770) 666-9102
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A106567
CA
Other
Enumeration date
08/03/2010
Last updated
08/03/2010
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