Provider Demographics
NPI:1841223583
Name:CHIAO, NOR CHAN (MD, JD, LLM)
Entity Type:Individual
Prefix:
First Name:NOR
Middle Name:CHAN
Last Name:CHIAO
Suffix:
Gender:F
Credentials:MD, JD, LLM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20401 N 73RD ST STE 230
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-4153
Mailing Address - Country:US
Mailing Address - Phone:480-556-0446
Mailing Address - Fax:480-556-0447
Practice Address - Street 1:9520 W PALM LN STE 115
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85037-4403
Practice Address - Country:US
Practice Address - Phone:480-556-0446
Practice Address - Fax:480-556-0447
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-08
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA76259207NS0135X
ND12210207NS0135X
AZ66579207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND12210OtherMEDICAL LICENSE
CAA76259OtherMEDICAL LICENSE