Chan, Alan

Chan, Alan is an individual health care provider with primary practice located at 86 W Underwood St Mp 80, Orlando FL 32806-2008. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Chan, Alan can be contacted via phone (888) 912-3648.

Contact Information

Primary practice address
86 W Underwood St Mp 80 Orlando FL 32806-2008
Phone: (888) 912-3648
Fax: (321) 841-4085
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME110003 Florida
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X MEDICAL RESIDENT
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME110003 Florida

Profile Details

NPI number 1710104799
LBN Legal business name Chan, Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2007
Last updated Oct 31st, 2023 - about 3 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 1710104799 NPPES
Florida MEDICAID 003556300
Florida Other ME110003

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