Chan, Andrew

Chan, Andrew is an individual health care provider with primary practice located at 4150 V St #3400, Sacramento CA 95817-1460. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Chan, Andrew can be contacted via phone (916) 734-3564.

Contact Information

Primary practice address
4150 V St #3400 Sacramento CA 95817-1460
Phone: (916) 734-3564
Fax: (916) 734-7924
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A048303 California
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X A048303 California
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X A048303 California
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X A048303 California

Profile Details

NPI number 1114902426
LBN Legal business name Chan, Andrew
Credentials MB
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2005
Last updated Oct 31st, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114902426 NPPES
California MEDICAID 00A483030

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