Provider Demographics
NPI:1912970328
Name:CHEN, IAN ALPS (MD)
Entity Type:Individual
Prefix:DR
First Name:IAN
Middle Name:ALPS
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:PO BOX 936
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23501-0936
Mailing Address - Country:US
Mailing Address - Phone:757-889-5432
Mailing Address - Fax:757-889-5930
Practice Address - Street 1:825 FAIRFAX AVE
Practice Address - Street 2:SUITE 445
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23507-1914
Practice Address - Country:US
Practice Address - Phone:757-889-5432
Practice Address - Fax:757-889-5930
Is Sole Proprietor?:No
Enumeration Date:2006-02-08
Last Update Date:2009-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101057889207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA005862850Medicaid
NC0501ZOtherBC/BS
VA20451OtherSENTARA OPTIMA
VA259031OtherANTHEM
VAPAROtherMULTIPLAN
VAPAROtherCORVEL/CORCARE
VA271465OtherUHC/MAMSI
VA454068OtherANTHEM
VAPAROtherAETNA
VAPAROtherFIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRY
VAPAROtherUSA MANAGED CARE
VA-028OtherTRICARE/CHAMPUS
NC790501ZMedicaid
VAPAROtherVIRGINIA HEALTH NETWORK
VA005829119Medicaid
VAPAROtherVIRGINIA PREMIER HEALTH
VAPAROtherCIGNA
VAPAROtherVIRGINIA HEALTH NETWORK
VA20451OtherSENTARA OPTIMA
VAG98067Medicare UPIN