Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Benjamin Russell Chan, MD

Individual provider Psychiatry Physician · NPI 1952528374

Dr. Benjamin Russell Chan, MD is a Psychiatry Physician in Salt Lake City, Utah. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

650 Komas Dr Ste 200
Salt Lake City, UT 84108-1215
Phone: (801) 581-5515
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 0101240110 (VA)

Record details

NPI number1952528374
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 19, 2007
Last updated in NPPESNovember 12, 2021
Certification dateNovember 12, 2021

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