MEDICARE: DR. MICHAEL JOSEPH CHIU 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	207R00000X	Internal Medicine Physician	H7004	TX

General Provider Information

NPI Number	:	1467457242
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL JOSEPH CHIU M.D.

Provider Business Mailing Address
First Line	:	2126 TEXAS ASH DR
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75063-3464
Country	:	US
Telephone Number	:	972-741-4594
Fax Number	:	844-211-3275

Provider Business Practice Location Address
First Line	:	2126 TEXAS ASH DR
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75063-3464
Country	:	US
Telephone Number	:	972-741-4594
Fax Number	:	844-211-3275

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

Provider Enumeration Date	:	06/17/2005
Last Update Date	:	11/11/2024

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