Individual
DANIEL T CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
575 INDUSTRIAL DR, LOUISA, VA 23093-4146
(540) 967-2011
(540) 967-2982
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101246825
VA
390200000X
Student in an Organized Health Care Education/Training Program
0116019780
VA
Other
Enumeration date
06/25/2007
Last updated
05/13/2024
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