Chan, Rodrigo C
Chan, Rodrigo C is an sole proprietor health care provider with primary practice located at 6709 E Southern Ave , Mesa AZ 85206-3738. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, Allopathic & Osteopathic Physicians / Nuclear Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Chan, Rodrigo C can be contacted via phone (480) 773-2220.Contact Information
Primary practice address
6709 E Southern Ave
Mesa AZ 85206-3738
Phone: (480) 773-2220
Fax: (480) 378-2440
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 29915 | Arizona |
| Allopathic & Osteopathic Physicians / Nuclear Medicine | 207U00000X | 29915 | Arizona |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 29915 | Arizona |
Profile Details
| NPI number | 1659349512 |
|---|---|
| LBN Legal business name | Chan, Rodrigo C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 8th, 2006 |
| Last updated | Jan 11th, 2024 - about 10 months 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 | 1659349512 | NPPES |
| Arizona | MEDICAID | 631508 | |
| Arizona | Other | P00086778 |
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