National Provider Identifier

Ming Cheong Derek Chan, M.D.

Ming Cheong Derek Chan, M.D. is listed in the NPPES registry with a primary specialty of Obstetrics & Gynecology Physician in Sodus Point, NY and a listed phone number of (315) 483-6798.

NPI 1427341098Sodus Point, NYObstetrics & Gynecology Physician

Profile Overview

NPI
1427341098
Provider Type
Individual
Primary Specialty
Obstetrics & Gynecology Physician
Enumeration Date
May 16, 2011
Last Updated
May 16, 2011

Practice Location

  • 7128 Bayview Dr
  • Sodus Point, NY 14555-9501

Phone: (315) 483-6798

Specialties

  • Obstetrics & Gynecology Physician (207V00000X)
Full Record
NPI
1427341098
Entity Type
Individual
Last Name
Chan
First Name
Ming
Middle Name
Cheong Derek
Name Prefix
Dr.
Credential
M.D.
Provider Other Last Name
Chan
Provider Other First Name
M.C.
Provider Other Middle Name
Derek
Provider Other Credential Text
M.D.
Provider Other Last Name Type Code
2
Mailing Street Address
7128 Bayview Dr
Mailing City
Sodus Point
Mailing State
NY
Mailing ZIP Code
14555-9501
Mailing Country
US
Mailing Phone
(315) 483-6798
Mailing Fax
(315) 483-6798
Practice Street Address
7128 Bayview Dr
Practice City
Sodus Point
Practice State
NY
Practice ZIP Code
14555-9501
Practice Country
US
Practice Phone
(315) 483-6798
Practice Fax
(315) 483-6798
Enumeration Date
May 16, 2011
Last Updated
May 16, 2011
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Obstetrics & Gynecology Physician (207V00000X)