Michael P Chan, MD, Ms, RST, Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MICHAEL P CHAN, MD, MS, RST, INC

Practice address

2345 Spruce Goose St # C234
Las Vegas, NV 89135-2625

Phone

(408) 646-0984

NPI assigned

Jun 2, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Michael Philip Chan, MD

Title

Physician

Phone

(408) 646-0984

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591056000000",
    "number": "1720602188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3726 LAS VEGAS BLVD S UNIT 3501W",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891584399",
            "telephone_number": "408-646-0984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 SPRUCE GOOSE ST # C234",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891352625",
            "telephone_number": "408-646-0984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL P CHAN, MD, MS, RST, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-02",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "PHILIP",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "408-646-0984",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Internal Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2020; 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.