Provider Type Icon

JUSTINE KIT CHAN M.D. NPI 1073990743


NPI Information

NPI: 1073990743
Provider Name: JUSTINE KIT CHAN, M.D.
Classification: Psychiatry & Neurology - 2084N0008X
Entity Type: Individual

Specialization: Neuromuscular Medicine

PECOS Registration: Yes

Address:
240 W THOMAS RD STE 301
PHOENIX, AZ
ZIP 85013
Phone: (602) 406-6262
Get Directions

Justine Kit Chan, M.D. is a neuromuscular medicine psychiatry neurology in Phoenix, AZ with 9 years of experience. The provider is a neurologist or child neurologist who specializes in the diagnosis and management of disorders of nerve, muscle or neuromuscular junction, including amyotrophic lateral sclerosis, peripheral neuropathies (e.g., diabetic and immune mediated neuropathies), various muscular dystrophies, congenital and acquired myopathies, inflammatory myopathies (e.g., polymyositis, inclusion body myositis) and neuromuscular transmission disorders (e.g., myasthenia gravis, Lambert-Eaton myasthenic syndrome). Justine Kit Chan, M.D. NPI is 1073990743. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2015

The provider's business location address is:

240 W THOMAS RD STE 301
PHOENIX, AZ
ZIP 85013-407
Phone: (602) 406-6262

The NPI 1073990743 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/1/2015 and was last updated on 7/3/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
22084N0008XPsychiatry & NeurologyNeuromuscular Medicine57421ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.