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NPI Code Detail

MEDICARE: DR. ROBERT P CHEN MD

MEDICARE: DR. ROBERT P CHEN 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
1207R00000XInternal Medicine Physician01048722AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255335816
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT P CHEN MD
Provider Business Mailing Address
First Line : 9660 WICKER AVE
Second Line :
City : SAINT JOHN
State : IN
Zip : 46373-9487
Country : US
Telephone Number : 219-365-1166
Fax Number : 219-226-2212
Provider Business Practice Location Address
First Line : 9660 WICKER AVE
Second Line :
City : SAINT JOHN
State : IN
Zip : 46373-9487
Country : US
Telephone Number : 219-365-1166
Fax Number : 219-226-2212
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2005
Last Update Date : 05/17/2016

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Directions to “ DR. ROBERT P CHEN MD” Practice Location

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