Healthcare Provider Details

I. General information

NPI: 1649286881
Provider Name (Legal Business Name): WILLIAM YUNZHOU CHU M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: WILLIAM CHU M.D.

II. Dates (important events)

Enumeration Date: 07/31/2006
Last Update Date: 05/01/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 S PERRY ST SUITE 101B
CASTLE ROCK CO
80104-2668
US

IV. Provider business mailing address

755 SCOTT CIR
JBPHH HI
96853-5399
US

V. Phone/Fax

Practice location:
  • Phone: 303-688-2228
  • Fax:
Mailing address:
  • Phone: 808-449-0453
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number27839
License Number StateNE

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: