Healthcare Provider Details

I. General information

NPI: 1336386820
Provider Name (Legal Business Name): JEFF S CHUEH MD, PHD.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: SHIH-CHIEH CHUEH MD

II. Dates (important events)

Enumeration Date: 01/21/2009
Last Update Date: 05/23/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33100 CLEVELAND CLINIC BLVD
AVON OH
44011
US

IV. Provider business mailing address

33100 CLEVELAND CLINIC BLVD
AVON OH
44011-1390
US

V. Phone/Fax

Practice location:
  • Phone: 440-695-4260
  • Fax:
Mailing address:
  • Phone: 440-695-4260
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code204F00000X
TaxonomyTransplant Surgery Physician
License Number00001
License Number StateWV
# 2
Primary TaxonomyN
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number00001
License Number StateWV
# 3
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number35.098090
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: