Healthcare Provider Details

I. General information

NPI: 1851247761
Provider Name (Legal Business Name): CHRISTINE CHIU MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/05/2026
Last Update Date: 03/05/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8440 112 ST NW CLINICAL SCIENCES BUILDING 2-150
EDMONTON ALBERTA
T5N3P7
CA

IV. Provider business mailing address

12322 102 AVE NW 519
EDMONTON ALBERTA
T5N3P7
CA

V. Phone/Fax

Practice location:
  • Phone:
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: