DR. CHANDAT DO PHAN MD
NPI 1194575076
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since March 25, 2024PECOS Enrolled
3400 SPRUCE ST, PHILADELPHIA, PA 19104(800) 789-7366 Get Directions Write a Review

NPPES record last updated: March 25, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Chandat Do Phan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CHANDAT DO PHAN MD (NPI 1194575076) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194575076
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. CHANDAT DO PHANCredential: MD
Location Address3400 SPRUCE STPhiladelphia, PA 19104-4238
Mailing Address301 E 2nd St Apt 204Hummelstown, PA 17036-1706
Sole ProprietorNo
Enumeration DateMarch 25, 2024
NPPES CertifiedMarch 25, 2024
NPI 1194575076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
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.

3400 SPRUCE ST, Philadelphia, PA 19104

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Chandat Do Phan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
3400 SPRUCE ST, 8 RAVDIN
PHILADELPHIA, PA 19104
Radiology (Diagnostic Radiology)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Anesthesiology
3400 SPRUCE ST, 6 DULLES
PHILADELPHIA, PA 19104
Internal Medicine (Pulmonary Disease)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Student in an Organized Health Care Education/Training Program
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Physician Assistant (Medical)
3400 SPRUCE ST, 4 SILVERSTEIN
PHILADELPHIA, PA 19104
Anesthesiology (Critical Care Medicine)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Radiology (Diagnostic Radiology)
3400 SPRUCE ST
PHILADELPHIA, PA 19104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chandat Phan's NPI number?

The NPI number for Chandat Phan is 1194575076. It was assigned to this individual provider in the NPPES registry on March 25, 2024.

Where is Chandat Phan located?

Chandat Phan practices at 3400 Spruce St, Philadelphia, PA 19104. The listed phone number is (800) 789-7366.

What is Chandat Phan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Chandat Phan enrolled in Medicare?

Yes. Chandat Phan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Chandat Phan was last updated on March 25, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.