IRA CARL CHAN M.D. NPI 1972618866

NPI Information

NPI: 1972618866
Provider Name: IRA CARL CHAN, M.D.
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
301 OLD SAN FRANCISCO RD
SUNNYVALE, CA
ZIP 94086
Phone: (408) 730-4240
Get Directions

Ira Carl Chan, M.D. is an obstetrics gynecology in Sunnyvale, CA with 34 years of experience. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Ira Carl Chan, M.D. NPI is 1972618866. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduation Year:1990

The provider's business location address is:

301 OLD SAN FRANCISCO RD
SUNNYVALE, CA
ZIP 94086-386
Phone: (408) 730-4240

The NPI 1972618866 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 8/20/2006 and was last updated on 3/17/2018.

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	207V00000X	Obstetrics & Gynecology		79490	MASSACHUSETTS	No
2	207V00000X	Obstetrics & Gynecology		G133888	CALIFORNIA	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	J31017	OTHER	MASSACHUSETTS	BCBS
2	603957	OTHER	MASSACHUSETTS	TUFTS
3	34650	OTHER	MASSACHUSETTS	BMC HEALTHNET
4	110055650	MEDICAID	MASSACHUSETTS
5	989800	OTHER	MASSACHUSETTS	NETWORK HEALTH
6	AA96851	OTHER	MASSACHUSETTS	HARVARD PILGRIM

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

NPI Synchronization or Removal

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