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

Sotheary Chan, PA

Individual provider Medical Physician Assistant · NPI 1750551818

Sotheary Chan, PA is a Medical Physician Assistant in Fairfax, South Carolina. Licensed in South Carolina. Registered with an NPI since 2008.

Licensed in
SC
In the registry since
2008
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

1787 Allendale Fairfax Hwy
Fairfax, SC 29827-9133
Phone: (803) 632-1176
Fax: (803) 632-2410
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 1272 (SC)

Record details

NPI number1750551818
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 5, 2008
Last updated in NPPESMarch 5, 2008