SOTHEARY CHAN PA NPI 1750551818

NPI Information

  • NPI: 1750551818
  • Provider Name: SOTHEARY CHAN, PA
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • Address: 1787 ALLENDALE FAIRFAX HWY
    FAIRFAX, SC
    ZIP 29827
  • Phone: (803) 632-1176

Map and Directions

Get Directions

NPI Details

Sotheary Chan, PA is a medical physician assistant in Fairfax, SC. Sotheary Chan, PA NPI is 1750551818. 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:

1787 ALLENDALE FAIRFAX HWY
FAIRFAX, SC
ZIP 29827-133
Phone: (803) 632-1176
Fax: (803) 632-2410

The enumeration date for this NPI number is 3/5/2008 and was last updated on 3/5/2008.

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
1363AM0700XPhysician AssistantMedical1272SOUTH CAROLINAYes

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: 3/30/2025

NPI Synchronization or Removal

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.

Previous NPI
Next NPI