Individual
DR. CHAN MYAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3200 MACCORKLE AVE SE, CHARLESTON, WV 25304-1227
(304) 388-5432
Mailing address
3200 MACCORKLE AVE SE, CHARLESTON, WV 25304-1227
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
U6028
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/14/2020
Last updated
08/08/2023
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