MEDICARE: STEPHEN KUN CHIU 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	208M00000X	Hospitalist Physician	2009-01195	NC
2	207R00000X	Internal Medicine Physician	2009-01195	NC

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
2	FH100740	OTHER	NC	FIRSTCAROLINA CARE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194924860
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHEN KUN CHIU MD

Provider Business Mailing Address
First Line	:	PO BOX 843223
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02284-3223
Country	:	US
Telephone Number	:	910-417-4005
Fax Number	:	910-417-4014

Provider Business Practice Location Address
First Line	:	809 S LONG DR
Second Line	:	SUITE H
City	:	ROCKINGHAM
State	:	NC
Zip	:	28379-4317
Country	:	US
Telephone Number	:	910-417-4005
Fax Number	:	910-417-4014

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

Provider Enumeration Date	:	07/13/2007
Last Update Date	:	06/11/2013

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