Chan, Ira Carl
Chan, Ira Carl is an individual health care provider with primary practice located at 301 Old San Francisco Rd , Sunnyvale CA 94086-6386. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Chan, Ira Carl can be contacted via phone (408) 730-4240.Contact Information
Primary practice address
301 Old San Francisco Rd
Sunnyvale CA 94086-6386
Phone: (408) 730-4240
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | G133888 | California |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 79490 | Massachusetts |
Profile Details
| NPI number | 1972618866 |
|---|---|
| LBN Legal business name | Chan, Ira Carl |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 20th, 2006 |
| Last updated | Mar 17th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972618866 | NPPES |
| Massachusetts | MEDICAID | 110055650 | |
| Massachusetts | Other | 989800 | |
| Massachusetts | Other | AA96851 | |
| Massachusetts | Other | J31017 | |
| Massachusetts | Other | 34650 | |
| Massachusetts | Other | 603957 |
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