Provider Demographics
NPI:1689840068
Name:CHAN, TINEKE L (MD)
Entity Type:Individual
Prefix:
First Name:TINEKE
Middle Name:L
Last Name:CHAN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2 DUDLEY ST
Mailing Address - Street 2:SUITE 505
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02905-3236
Mailing Address - Country:US
Mailing Address - Phone:401-444-7008
Mailing Address - Fax:401-444-4862
Practice Address - Street 1:2 DUDLEY ST
Practice Address - Street 2:SUITE 505
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02905-3236
Practice Address - Country:US
Practice Address - Phone:401-444-7008
Practice Address - Fax:401-444-4862
Is Sole Proprietor?:No
Enumeration Date:2008-05-05
Last Update Date:2023-05-16
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Provider Licenses
StateLicense IDTaxonomies
RI13787207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology