MEDICARE: JOSEPH CHI MD PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	ME57219	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831490457
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOSEPH CHI MD PA

Provider Business Mailing Address
First Line	:	1210 NW 95TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33147-3318
Country	:	US
Telephone Number	:	305-691-1820
Fax Number	:	305-694-8450

Provider Business Practice Location Address
First Line	:	1210 NW 95TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33147-3318
Country	:	US
Telephone Number	:	305-691-1820
Fax Number	:	305-694-8450

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JOSEPH ISAAC CHI
Credential	:	M.D.
Telephone Number	:	305-691-1820

Provider Enumeration Date	:	11/12/2010
Last Update Date	:	11/12/2010

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