Provider Demographics
NPI:1922039601
Name:CHEN, ALBERT Y (MD)
Entity Type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:Y
Last Name:CHEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1920 N HIGLEY RD
Mailing Address - Street 2:SUITE 308
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85234-2168
Mailing Address - Country:US
Mailing Address - Phone:480-543-6600
Mailing Address - Fax:480-543-6733
Practice Address - Street 1:1920 N HIGLEY RD
Practice Address - Street 2:SUITE 308
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85234-2168
Practice Address - Country:US
Practice Address - Phone:480-543-6600
Practice Address - Fax:480-543-6733
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2011-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ31252208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ148048Medicare PIN
AZZ141520Medicare PIN
AZZ141535Medicare PIN