Healthcare Provider Details

I. General information

NPI: 1932149499
Provider Name (Legal Business Name): ROLAND LEE-SHING CHU MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2006
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CHILDRENS HOSPITAL MI HEMATOLOGY/ONCOLOGY 3901 BEAUBIEN 2ND FLOOR - CARL'S BUILDING
DETROIT MI
48201
US

IV. Provider business mailing address

3800 WOODWARD AVE STE 600
DETROIT MI
48201-2061
US

V. Phone/Fax

Practice location:
  • Phone: 313-745-5515
  • Fax: 313-745-5237
Mailing address:
  • Phone: 313-262-1490
  • Fax: 313-262-1238

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0207X
TaxonomyPediatric Hematology & Oncology Physician
License Number4301074230
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number4301074230
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: