NPI 1497289961 · live from the CMS NPI Registry
David Chan
Podiatrist, Foot & Ankle Surgery in Leesburg, VA. National Provider Identifier 1497289961, active.
NPI record
| NPI | 1497289961 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 224d Cornwall St Nw # 203100, Leesburg, VA 20176 |
| Practice phone | 703-777-5830 |
| Mailing address | 224d Cornwall St Nw Ste 203, Leesburg, VA 20176 |
| Enumerated | April 11, 2017 |
| Last updated | October 12, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | 0103301298 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.