NPI 1922417211 · live from the CMS NPI Registry
Kathleen Chan, M.D.
Anesthesiology in New Haven, CT. National Provider Identifier 1922417211, active.
NPI record
| NPI | 1922417211 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology 207L00000X |
| Practice location | 51 Crown St Apt 205, New Haven, CT 06510 |
| Practice phone | 203-785-2802 |
| Mailing address | Po Box 100254, Gainesville, FL 32610 |
| Enumerated | August 12, 2014 |
| Last updated | June 30, 2017 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Anesthesiology primary | 207L00000X | ME132440 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.