Benito S Chan, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D0020050 Issued in MD

Practice address

1340 S Division St
Suite 301
Salisbury, MD 21804-7095

Phone

(410) 546-4427

Fax

(410) 546-2096

NPI assigned

Nov 15, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Vitalcare LLC

  • Internal Medicine Physician
  • Salisbury, MD
  • NPI 1326878703
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209340800000",
    "number": "1306828488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 S DIVISION ST",
            "address_2": "SUITE 301",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218047095",
            "telephone_number": "410-546-4427",
            "fax_number": "410-546-2096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 S DIVISION ST",
            "address_2": "SUITE 301",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218047095",
            "telephone_number": "410-546-4427",
            "fax_number": "410-546-2096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "BENITO",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2008-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0020050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Marie Ceruzzi, DO
• Silvana Cespedes
• Michael R Chaikel, PAC
• Anusree Chakraborty, MD
• Julia M Chalmers, PT, DPT
• Rajdeep Chana
• Amy Lowe Chandler, NP-C
• Morgan Anne Chandler
• Niraj Thakarshi Chapla, MD
• Charles P. Brenner, D.D.S., P.a.

• Internal Medicine Physician in Salisbury, MD
• Providers in Salisbury, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.