DR. KA WAH CHAN M.D. NPI 1134186034

NPI Information

NPI: 1134186034
Provider Name: DR. KA WAH CHAN, M.D.
Classification: Pediatrics - 2080P0207X
Entity Type: Individual

Specialization: Pediatric Hematology-Oncology

Address:
4410 MEDICAL DR
SUITE 550
SAN ANTONIO, TX
ZIP 78229
Phone: (210) 575-2222
Get Directions

DR. Ka Wah Chan, M.D. is a pediatric hematology-oncology pediatrics in San Antonio, TX. The provider is a pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. DR. Ka Wah Chan, M.D. NPI is 1134186034. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4410 MEDICAL DR
SUITE 550
SAN ANTONIO, TX
ZIP 78229-306
Phone: (210) 575-2222
Fax: (210) 575-6373

The enumeration date for this NPI number is 4/26/2006 and was last updated on 5/26/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RH0000X	Internal Medicine	Hematology	J2535	TEXAS	No
2	208000000X	Pediatrics		J2535	TEXAS	No
3	2080P0203X	Pediatrics	Pediatric Critical Care Medicine	J2535	TEXAS	No
4	2080P0207X	Pediatrics	Pediatric Hematology-Oncology	J2535	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	130467713	MEDICAID	TEXAS
2	TXB119154	MEDICARE PIN
3	130467714	OTHER	TEXAS	CSN
4	8CC910	OTHER		BCBS

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: 11/14/2023

NPI Synchronization or Removal

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