Individual
CHARLENE CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4960 SAINT CLAUDE AVE, NEW ORLEANS, LA 70117-4258
(504) 533-4999
Mailing address
4228 HOUMA BLVD, STE 200, METAIRIE, LA 70006-3000
(504) 454-7878
(504) 883-3775
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
306403
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2016
Last updated
04/13/2020
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