NPI 1003838186 · live from the CMS NPI Registry
Sokhom Raphael Chan, M.D.
Psychiatry & Neurology, Psychiatry in Clarksburg, WV. National Provider Identifier 1003838186, active.
NPI record
| NPI | 1003838186 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Psychiatry 2084P0800X |
| Practice location | Va Medical Center, 1 Medical Center Drive, Clarksburg, WV 26301 |
| Practice phone | 304-623-3461 |
| Mailing address | 1 Medical Center Drive, Clarksburg, WV 26301 |
| Enumerated | July 24, 2006 |
| Last updated | July 21, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Psychiatry primary | 2084P0800X | 19124 (WV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.