Provider Demographics
NPI:1952327157
Name:CHEN, PEI YAN (MD)
Entity Type:Individual
Prefix:DR
First Name:PEI
Middle Name:YAN
Last Name:CHEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48 MEDICAL PARK DR E
Mailing Address - Street 2:STE 151
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35235-3400
Mailing Address - Country:US
Mailing Address - Phone:205-856-0011
Mailing Address - Fax:205-856-0726
Practice Address - Street 1:48 MEDICAL PARK DR E
Practice Address - Street 2:SUITE 151
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35235-3400
Practice Address - Country:US
Practice Address - Phone:205-856-0011
Practice Address - Fax:205-856-0726
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2015-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00024999207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL630835334OtherTRICARE
ALI09196OtherHEALTH SPRING
ALDC0698OtherTRAVELERS MEDICARE
ALI09196OtherUNITED HEALTH CARE
AL630835334OtherAETNA
ALI09196OtherVIVA
AL51520863OtherBLUE CROSS
AL009961755Medicaid
AL630835334OtherCIGNA
ALI09196OtherHEALTH SPRING
AL009961755Medicaid