Provider Demographics
NPI:1417164476
Name:CHAN, FARN (MD)
Entity Type:Individual
Prefix:
First Name:FARN
Middle Name:
Last Name:CHAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 749495
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-9495
Mailing Address - Country:US
Mailing Address - Phone:239-432-8331
Mailing Address - Fax:813-321-1296
Practice Address - Street 1:2280 OPITZ BLVD STE 340
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22191-3362
Practice Address - Country:US
Practice Address - Phone:703-590-8300
Practice Address - Fax:703-590-8301
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2023-01-12
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Provider Licenses
StateLicense IDTaxonomies
VA0101248817207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology