Dr Melvin Chan, MD | |
705 Riley Hospital Dr, Riley 5867, Indianapolis, IN 46202-5109 | |
(317) 948-0003 | |
Not Available |
Full Name | Dr Melvin Chan |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 705 Riley Hospital Dr, Indianapolis, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174055404 | NPI | - | NPPES |
029375 | Other | CO | KAISER COMMERCIAL NUMBER |
0065858 | Other | CO | COLORADO LICENSE NUMBER |
11019277A | Other | IN | INDIANA LICENSE NUMBER |
9000194362 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 0065858 (Colorado) | Primary |
207R00000X | Internal Medicine | DR.0065858 (Colorado) | Secondary |
Entity Name | Colorado Permanente Medical Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760599724 PECOS PAC ID: 1254238454 Enrollment ID: O20031216000640 |
Mailing Address | Practice Location Address |
---|---|
Dr Melvin Chan, MD 705 Riley Hospital Dr, Riley 5867, Indianapolis, IN 46202-5109 Ph: (317) 948-0003 | Dr Melvin Chan, MD 705 Riley Hospital Dr, Riley 5867, Indianapolis, IN 46202-5109 Ph: (317) 948-0003 |
Mohannad Moallem, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 705 Riley Hospital Dr, Indianapolis, IN 46202 Phone: 317-274-4779 Fax: 317-948-9806 | |
Tracey Wilkinson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 705 Riley Hospital Dr Ste 1300, Indianapolis, IN 46202 Phone: 317-962-8067 | |
Samuel J Flanders, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 250 N Shadeland Ave, Ste 200, Indianapolis, IN 46219 Phone: 317-962-4836 Fax: 317-962-8646 | |
Mark H Hoyer, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 705 Riley Hospital Dr, Rr 127, Indianapolis, IN 46202 Phone: 317-274-8906 Fax: 317-274-4022 | |
Dr. Alka Khaitan, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 705 Riley Hospital Dr Rr230, Indianapolis, IN 46202 Phone: 317-944-7260 | |
Dr. Leslie Anne Enane, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 705 Riley Hospital Dr, Indianapolis, IN 46202 Phone: 317-944-7260 Fax: 317-948-0860 | |
Christine Nix, Pediatrics Medicare: Medicare Enrolled Practice Location: 750 Riley Hospital Drive, Room 5867, Indianapolis, IN 46202 Phone: 317-944-4034 |