Chan, Kevin Michael

Chan, Kevin Michael is an individual health care provider with primary practice located at 1500 E Medical Center Dr , Ann Arbor MI 48109-5000. He recently has 3 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 / Pulmonary Disease is his primary health care specialty. Chan, Kevin Michael can be contacted via phone (734) 936-4000.

Contact Information

Primary practice address
1500 E Medical Center Dr Ann Arbor MI 48109-5000
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301069535 Michigan
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 4301069535 Michigan
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 4301069535 Michigan

Profile Details

NPI number 1760564678
LBN Legal business name Chan, Kevin Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2006
Last updated Jul 31st, 2019 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760564678 NPPES
Michigan MEDICAID 4819944

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