MEDICARE: DR. MICHAEL WENIN CHU M.D.

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	207V00000X	Obstetrics & Gynecology Physician	A93972	CA

General Provider Information

NPI Number	:	1235106881
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL WENIN CHU M.D.

Provider Business Mailing Address
First Line	:	2901 K ST
Second Line	:	SUITE 209
City	:	SACRAMENTO
State	:	CA
Zip	:	95816-5124
Country	:	US
Telephone Number	:	916-744-2627
Fax Number	:	916-737-5226

Provider Business Practice Location Address
First Line	:	2901 K ST
Second Line	:	SUITE 209
City	:	SACRAMENTO
State	:	CA
Zip	:	95816-5124
Country	:	US
Telephone Number	:	916-744-2627
Fax Number	:	916-737-5226

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

Provider Enumeration Date	:	03/02/2006
Last Update Date	:	02/07/2016

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