Sotheary Chan, PA is a
Physician Assistant - Medical based in Fairfax, South Carolina. Sotheary Chan is licensed to practice in South Carolina (license number 1272) and his current practice location is
1787 Allendale Fairfax Hwy, Fairfax, South Carolina. He can be reached at his office (for appointments etc.) via phone at
(803) 632-1176.
NPI number for Sotheary Chan is 1750551818 and his current mailing address is Po Box 218, Fairfax, South Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1750551818.
Provider's Profile
| Full Name | Sotheary Chan |
|---|
| Gender | Male |
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| Speciality | Physician Assistant - Medical |
|---|
| Location | 1787 Allendale Fairfax Hwy, Fairfax, South Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1750551818
- Provider Enumeration Date: 03/05/2008
- Last Update Date: 03/05/2008
Medical Identifiers
Medical identifiers for Sotheary Chan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750551818 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AM0700X | Physician Assistant - Medical | 1272 (South Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sotheary Chan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Sotheary Chan, PA
Po Box 218,
Fairfax, SC 29827-0218
Ph: (803) 632-1176 | Sotheary Chan, PA
1787 Allendale Fairfax Hwy,
Fairfax, SC 29827-9133
Ph: (803) 632-1176 |
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