Chan, Leslie

Chan, Leslie is an individual health care provider with primary practice located at 8131 S. Memorial Dr. Suite 100 , Tulsa OK 74133. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Chan, Leslie can be contacted via phone (918) 200-9944.

Contact Information

Primary practice address
8131 S. Memorial Dr. Suite 100 Tulsa OK 74133
Phone: (918) 200-9944
Fax: (877) 616-3089
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 32172 Oklahoma
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 32172 Oklahoma

Profile Details

NPI number 1912039850
LBN Legal business name Chan, Leslie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2007
Last updated Sep 26th, 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 1912039850 NPPES
Oklahoma MEDICAID 200581440A

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