PAUL H. CHAN MD PC NPI 1114113578

NPI Information

  • NPI: 1114113578
  • Provider Name: PAUL H. CHAN MD PC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 1800 FAIRVIEW AVE
    SUITE 2
    DOTHAN, AL
    ZIP 36301
  • Phone: (334) 678-1400

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NPI Details

PAUL H. CHAN MD PC is a primary care clinic center in Dothan, AL. PAUL H. CHAN MD PC NPI is 1114113578. The provider is registered as an organization entity type.

The provider's business location address is:

1800 FAIRVIEW AVE
SUITE 2
DOTHAN, AL
ZIP 36301-058
Phone: (334) 678-1400
Fax: (334) 678-1432

The provider's authorized official is Glenda A Jones .
The authorized official title is Office Manager and has the following contact phone number (334) 678-1400.

The enumeration date for this NPI number is 9/19/2007 and was last updated on 12/23/2014.

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
1261QP2300XClinic/CenterPrimary Care13615ALABAMAYes

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
1529913350MEDICAIDALABAMA
2K710MEDICARE PINALABAMA
3051512284MEDICARE OSCAR/CERTIFICATIONALABAMA
4C73148MEDICARE UPINALABAMA
5DE5059OTHERALABAMARRMC

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: 11/21/2025

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