Ma, Chan M
Ma, Chan M is an individual health care provider with primary practice located at 128 Mott St Suite 405, New York NY 10013-5540. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Ma, Chan M can be contacted via phone (212) 966-0068.Contact Information
Primary practice address
128 Mott St Suite 405
New York NY 10013-5540
Phone: (212) 966-0068
Fax: (212) 966-0072
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 180042 | New York |
Profile Details
| NPI number | 1487642120 |
|---|---|
| LBN Legal business name | Ma, Chan M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 6th, 2005 |
| Last updated | Mar 19th, 2025 - about last year |
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 | 1487642120 | NPPES |
| New York | MEDICAID | 01608846 |
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