| Denise Kan MD | |
|
400 Seaport Ct Ste 203 Redwood City CA 94063-2767 | |
| (650) 727-1940 | |
| Not Available |
| Full Name | Denise Kan MD |
|---|---|
| Speciality | Internal Medicine |
| Location | 400 Seaport Ct Ste 203, Redwood City, California |
| Authorized Official Name and Position | Denise Kan (MD/OWNER) |
| Authorized Official Contact | 6507039084 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Denise Kan MD 400 Seaport Ct Ste 203 Redwood City CA 94063-2767 Ph: (650) 727-1940 | Denise Kan MD 400 Seaport Ct Ste 203 Redwood City CA 94063-2767 Ph: (650) 727-1940 |
| NPI Number | 1073483046 |
|---|---|
| Provider Enumeration Date | 11/06/2025 |
| Last Update Date | 11/06/2025 |
| Certification Date | 11/06/2025 |
| Medicare PECOS PAC ID | 4284120783 |
|---|---|
| Medicare Enrollment ID | O20260105003139 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073483046 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Marie Denise B Kan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801392428 PECOS PAC ID: 5991051344 Enrollment ID: I20210902001104 |
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