BRIAN PAK HO CHAN


Address: 330 Brookline Avenue, Stoneman 458, Boston, MA 02215
Phone: 6176672136

BRIAN PAK HO CHAN (NPI# 1194205237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194205237
Entity Type Individual
Full Name BRIAN PAK HO CHAN
Credential M.D.
Practice Address 330 Brookline Avenue
Stoneman 458
Boston
MA 02215
Practice Telephone 6176672136
Practice Fax Number 6176671728
Mailing Telephone 6176672136
Mailing Fax Number 6176671728
Enumeration Date 2018-08-17
Last Update Date 2019-04-10
NPI Deactivation Date 03/25/2019
NPI Reactivation Date 2019-04-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program 277470 MA Student, Health Care

Other Provider Identifier

State Issuer Identifier Type Code
CPSO 100258 01

Other Providers BRIAN CHAN

NPI Name Taxonomy Address Enumeration
1659985562 Brian Chan Occupational Therapist 908 Perry St, Apt 303, Richmond, VA 23224-2363 2020-09-08
1699943050 Brian Chan Dentist 16766 Bernardo Center Dr Ste 100, San Diego, CA 92128-2501 2008-02-19
1104017839 Brian G Chan Dentist 6880 S. Mccarran Blvd Ste. 9, Reno, NV 89509 2007-08-07
1689787913 Brian Wilhoi Chan Chiropractor 12419 Rentan Ave S, Seattle, WA 98178 2006-08-17
1528695764 Brian Chan Pharmacist 740 W Alluvial Ave Ste 101, Fresno, CA 93711-5509 2020-03-26
1700348752 Brian Man Chan Family Medicine 1304 Franklin Ave, Normal, IL 61761-3558 2019-04-01
1679039697 Brian Chan Student in an Organized Health Care Education/Training Program 2443 W 1st St, Brooklyn, NY 11223-5928 2019-02-14
1376094342 Brian Chan Physical Therapist 1526 Lombard St, Philadelphia, PA 19146-1625 2016-10-14
1669928123 Brian Chan Pharmacist 320 Harrison St, Sedro Woolley, WA 98284-1035 2016-08-25
1467844019 Brian Rebenque Chan Nurse Anesthetist, Certified Registered 400 W Mineral King Ave, Visalia, CA 93291 2015-02-19

Office Location

Street Address 330 BROOKLINE AVENUE
STONEMAN 458
City BOSTON
State MA
Zip Code 02215

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184627481 Asha Anandaiah Internal Medicine 330 Brookline Avenue, Ksb-023, Boston, MA 02215 2005-05-31
1639706492 Michael Ryan Tom Student in an Organized Health Care Education/Training Program 330 Brookline Avenue, Bidmc Psychiatry Training Program, Rabb 2, Boston, MA 02215 2020-03-23
1134769052 James Saperia Student in an Organized Health Care Education/Training Program 330 Brookline Avenue, Boston, MA 02215 2020-01-08
1528626389 Marissa Chloe Palmor Obstetrics & Gynecology 330 Brookline Avenue, Shapiro 8, Boston, MA 02215-5400 2019-06-05
1881168201 Jeffrey Zhenyu Wang Student in an Organized Health Care Education/Training Program 330 Brookline Avenue, Kirstein 406, Boston, MA 02215 2019-01-18
1578032264 Debbie Koay Pharmacist 330 Brookline Avenue, Boston, MA 02215 2018-11-26
1518452754 Evgeniya Larionova Surgery 330 Brookline Avenue, Boston, MA 02149-2507 2018-06-29
1679065817 Corinne Nicole Jansen Obstetrics & Gynecology 330 Brookline Avenue, East Campus, Kirstein 3, Boston, MA 02215 2018-06-04
1205326865 Katherine Marie Baker Student in an Organized Health Care Education/Training Program 330 Brookline Avenue, East Campus, Kirstein 3, Boston, MA 02215 2018-05-18
1831606680 Arvind Kaur Shergill Radiology 330 Brookline Avenue, Department of Radiology, Boston, MA 02215 2018-01-02
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336746775 Lee T Gernon-lakin Physician Assistant 202 Robinson Hall, 360 Huntington Ave, Boston, MA 02215 2020-10-08
1821695933 Matthew John Needham Student in an Organized Health Care Education/Training Program 330 Brookline Ave, Yamins 2nd Floor, Department of Anesthesia, Boston, MA 02215 2020-10-02
1114533866 Cdg Back Bay LLC Clinic/Center 400 Commonwealth Ave 3rd Floor, Boston, MA 02215 2020-09-18
1619595105 Natasha Larocque Radiology 330 Brookline Avenue, Sherman 231, Beth Israel Deacones, Radiology Education Office, Boston, MA 02215 2020-07-10
1538783089 Yutsz Cherng Counselor 870r Commonwealth Avenue, Boston, MA 02215 2020-06-01
1306495924 Anthony Rosellini Psychologist 900 Commonwealth Avenue (east), 2nd Floor, Boston, MA 02215 2019-09-06
1427605278 Liana Zucco Student in an Organized Health Care Education/Training Program Beth Israel Deaconess Medical Centre, Dept Anesthesia, 330 Brookline Ave, Ya-02q02, Boston, MA 02215 2019-08-26
1831759430 Brian William Hayes Radiology 330 Brookline Avenue, Beth Israel Deaconess Medical Cen, Boston, MA 02215 2019-06-17
1396304358 Elizabeth Hai Yen Du Student in an Organized Health Care Education/Training Program Beth Israel Deaconess Medical Center, Department of Rad, 330 Brookline Avenue, Boston, MA 02215 2019-06-12
1922665439 Corey Shaphard Miller Student in an Organized Health Care Education/Training Program 300 Brookline Avenue, Bidmc, Dana 501, Boston, MA 02215 2019-05-21
Find all providers in zip 02215

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306447636 Sarah Wieman Student in an Organized Health Care Education/Training Program 16 Blossom St Fl 1, Boston, MA 02114-3104 2020-11-03
1932709938 Brianna Mae Duval Student in an Organized Health Care Education/Training Program 58 Colborne Rd, Boston, MA 02135-4103 2020-10-28
1780281279 Sarah Hamad Alsaggabi Student in an Organized Health Care Education/Training Program 55 Traveler St Apt 1310, Boston, MA 02118-2973 2020-10-07
1821695933 Matthew John Needham Student in an Organized Health Care Education/Training Program 330 Brookline Ave, Yamins 2nd Floor, Department of Anesthesia, Boston, MA 02215 2020-10-02
1013524339 Jacqueline Busa Student in an Organized Health Care Education/Training Program Northeastern University 336 Huntington Ave, Boston, MA 02115 2020-09-30
1558978957 Tien-hsin Chang Student in an Organized Health Care Education/Training Program 1 Kneeland Street (tufts University School of Dental Me, Boston, MA 02111 2020-09-29
1417564279 Katherine Rose Brainard Student in an Organized Health Care Education/Training Program 336 Huntington Avenue, Boston, MA 02115 2020-09-25
1962018069 Cara Connors Student in an Organized Health Care Education/Training Program 18 Wiget St Apt 1, Boston, MA 02113-2363 2020-09-23
1023624608 Bernadette Avila Student in an Organized Health Care Education/Training Program 19 Peterborough St Apt 5, Boston, MA 02215-4409 2020-09-19
1588276281 Guoliang Qiao Student in an Organized Health Care Education/Training Program Massachusetts General Hospital, 55 Fruit Street., Boston, MA 02114 2020-08-24
Find all providers in BOSTON

Competitor

Search similar providers

City BOSTON
Zip Code 02215

Improve Information

Please comment or provide details below to improve the information on BRIAN PAK HO CHAN.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches