Individual provider · Type 1 NPI

Marvyn Allen Gan Chan, MD

Student in an Organized Health Care Education/Training Program · Brooklyn, NY

NPI number 1811512890 Active

Practice location

506 6th St
Brooklyn, NY 11215-3609

Call (718) 780-3000 Map

Mailing address

9229 Queens Blvd Apt 15G
Rego Park, NY 11374-1061

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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.

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About NPI 1811512890

Marvyn Allen Gan Chan, MD's National Provider Identifier is 1811512890, issued on Jun 15, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Brooklyn, NY. The record was last updated on Jul 3, 2026.