Provider Demographics
NPI:1548452782
Name:CHAN, KEITH WEI (MD)
Entity type:Individual
Prefix:DR
First Name:KEITH
Middle Name:WEI
Last Name:CHAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3838 CALIFORNIA ST RM 715
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-1509
Mailing Address - Country:US
Mailing Address - Phone:415-668-8010
Mailing Address - Fax:415-752-2560
Practice Address - Street 1:3838 CALIFORNIA ST RM 715
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-1509
Practice Address - Country:US
Practice Address - Phone:415-668-8010
Practice Address - Fax:415-752-2560
Is Sole Proprietor?:No
Enumeration Date:2007-08-13
Last Update Date:2022-08-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA106438207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine