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Contact Information

TERENCE C CHAN, MD
2501 BUENA VISTA
PMG PROVIDER RESOURCE GROUP
ALBUQUERQUE, NM87125
 Phone: 505-923-5327
 Fax: 505-923-5305
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospitalist

208M00000X
Indicates primary specialty

NPI Profile & details for TERENCE C CHAN · (Male)

NPI # 1770611832
Status Active
Credentials MD
Entity Individual
Enumeration date 03/01/2007
Last updated 08/15/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • NM License # MD2004-0593
  • NM Medicaid 59876018
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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