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

Keith C Chan, MD

Individual provider Diagnostic Radiology Physician · NPI 1124147012

Keith C Chan, MD is a Diagnostic Radiology Physician in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2007.

Licensed in
AZ
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

4045 E Bell Rd Ste 143
Phoenix, AZ 85032-2236
Phone: (602) 867-0404
Fax: (602) 788-0893
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 36775 (AZ)

Record details

NPI number1124147012
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 29, 2007
Last updated in NPPESJanuary 21, 2011
Mailing address4045 E Bell Rd, Suite 143, Phoenix, AZ 85032-2236

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