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1043318736

NPI Code Detail

MEDICARE: DR. JAMIE W CHU MD

MEDICARE: DR. JAMIE W CHU MD

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	2084P0800X	Psychiatry Physician	MD61139128	WA
2	2084N0400X	Neurology Physician	57463	MT
3	2084P0800X	Psychiatry Physician	C1-0025322	DE
4	2084P0800X	Psychiatry Physician	35.084797	OH
5	2084P0800X	Psychiatry Physician	0101262946	VA

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	:	1043318736
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMIE W CHU MD

Provider Business Mailing Address
First Line	:	2110 LEITER RD
Second Line	:
City	:	MIAMISBURG
State	:	OH
Zip	:	45342-3598
Country	:	US
Telephone Number	:	937-914-7054
Fax Number	:	937-522-7685

Provider Business Practice Location Address
First Line	:	5350 LAMME RD
Second Line	:
City	:	MORAINE
State	:	OH
Zip	:	45439-3215
Country	:	US
Telephone Number	:	937-534-4632
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	02/11/2026

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Directions to “ DR. JAMIE W CHU MD” Practice Location

Language	Start Address	Practice Location

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