Hollis Ricardo Chan, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

ME 85971 Issued in FL

Practice address

15038 SW 35TH St
Davie, FL 33331-2729

Phone

(954) 474-5080

Fax

(954) 577-5671

NPI assigned

Feb 6, 2007

Sex

Male

Sole proprietor

Yes

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)

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.

• Sheridan Radiology Services of Central Florida, Inc.

  • Diagnostic Radiology Physician
  • Fort Lauderdale, FL
  • NPI 1275997934
  NPD (past)
• Sheridan Radiology Services of South Florida, Inc

  • Diagnostic Radiology Physician
  • West Palm Beach, FL
  • NPI 1437407681
  NPD (past)
• Sheridan Radiology Services of South Florida, Inc.

  • Diagnostic Radiology Physician
  • Delray Beach,, FL
  • NPI 1346598588
  NPD (past)
• Amarillo Radiology Associates LLP

  • Diagnostic Radiology Physician
  • Amarillo, TX
  • NPI 1861692956
  NPD (past)

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720127657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15038 SW 35TH ST",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333312729",
            "telephone_number": "954-474-5080",
            "fax_number": "954-577-5671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15038 SW 35TH ST",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333312729",
            "telephone_number": "954-474-5080",
            "fax_number": "954-577-5671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "HOLLIS",
        "middle_name": "RICARDO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME 85971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hilda Cespedes
• Irene Lucia Cespedes
• Katherine Chadwell
• Hachley Chala
• Madeline Chamorro
• Neena Chandrasekaran
• Gabriela Chang
• Joshua Chang
• Alexandria Marie Changtin, ARNP
• Marisa Reagan Chanin, DMD

• Diagnostic Radiology Physician in Davie, FL
• Providers in Davie, FL by specialty
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.