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

Dr. Ethan Chan, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1659123800

Dr. Ethan Chan, MD is a Student in an Organized Health Care Education/Training Program in Columbus, Ohio. Registered with an NPI since 2024.

In the registry since
2024
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

1670 Upham Dr
Columbus, OH 43210-1250
Phone: (614) 293-4540
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1659123800
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 2, 2024
Last updated in NPPESApril 2, 2024
Certification dateApril 2, 2024
Mailing address1670 Upham Dr, Columbus, OH 43210-1250

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