Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SOTHEARY CHAN, PA
ActiveSOTHEARY CHAN, PA is a Medical Physician Assistant healthcare provider located in FAIRFAX, South Carolina. NPI 1750551818 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · FAIRFAX, SC
Registration Details
- NPI Number
- 1750551818
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 5, 2008 (18.42891219559 yrs)
- Last Updated
- Mar 5, 2008
- License
-
1272 (SC)
Practice Information
- Address
-
1787 ALLENDALE FAIRFAX HWYFAIRFAX, SC, 298279133Browse SC providers · Browse ZIP 29827
- Phone
- 8036321176
- Fax
- 8036322410
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.