Pennapa S Chan in Madison - Endocrinology, Diabetes & Metabolism

Pennapa S Chan - NPI 1457405128

Pennapa S Chan is a Endocrinology, Diabetes & Metabolism in Madison, Wisconsin. Pennapa S Chan practices all healthcare services and medical treatments related to Endocrinology, Diabetes & Metabolism. The NPI Number for Pennapa S Chan is 1457405128. The last update date is 2023-04-28.

Pennapa S Chan's current location address is 1313 Fish Hatchery Rd, Madison, Wisconsin. You can contact this provider via phone number 6082528000 and fax number 6082528268. The mailing address for Pennapa S Chan is 1313 Fish Hatchery Rd, Madison, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Pennapa S Chan
Address 1313 Fish Hatchery Rd, Madison, Wisconsin
Phone Number 6082528000
Fax Number 6082528268
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1457405128
Provider Enumeration Date 2007-01-22
Last Updated Date 2023-04-28

Provider Mailing Address Detail

Address 1313 Fish Hatchery Rd
City Madison
State Wisconsin (WI)
Post Code 537151911
Phone Number 6082528000
Fax Number 6082528268

Provider's Primary Taxonomy Detail

Speciality Endocrinology, Diabetes & Metabolism
Taxonomy 207Re0101X
Licence No 41501-020
Definition:
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and men

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
34390100 WI --
60653 WI DEAN HEALTH INSURANCE

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FAQs about Pennapa S Chan

What is the unique 10-digit identification code assigned to Pennapa S Chan by the Centers for Medicare & Medicaid Services?

The Pennapa S Chan has been issued the NPI (National Provider Identifier) 1457405128, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Pennapa S Chan's facilities are situated?

The facilities of Pennapa S Chan are physically located at the following address: 1313 Fish Hatchery Rd, Madison, WI, 537151911.

What is the Pennapa S Chan's specialty and taxonomy code?

The Pennapa S Chan's specialty is Endocrinology, Diabetes & Metabolism, and the corresponding taxonomy code is 207Re0101X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1457405128 to Pennapa S Chan?

The Centers for Medicare & Medicaid Services originally issued the 1457405128 to Pennapa S Chan on 2007-01-22.

As of what date was the information regarding Pennapa S Chan, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Pennapa S Chan, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-04-28.

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