Individual
IRA CARL CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 OLD SAN FRANCISCO RD, SUNNYVALE, CA 94086-6386
(408) 730-4240
Mailing address
2350 W EL CAMINO REAL FL 2, MOUNTAIN VIEW, CA 94040-6203
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
79490
MA
207V00000X
Obstetrics & Gynecology Physician
Primary
G133888
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110055650
—
MA
01
—
34650
BMC HEALTHNET
MA
01
—
603957
TUFTS
MA
01
—
989800
NETWORK HEALTH
MA
01
—
AA96851
HARVARD PILGRIM
MA
01
—
J31017
BCBS
MA
Enumeration date
08/20/2006
Last updated
03/17/2018
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