MEDICARE: CHRISTOPHER WU 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	2085R0202X	Diagnostic Radiology Physician	229466	MA
2	2085R0202X	Diagnostic Radiology Physician	D0071649	MD
3	2085R0202X	Diagnostic Radiology Physician	MD039169	DC
4	2085R0202X	Diagnostic Radiology Physician	0101248767	VA

General Provider Information

NPI Number	:	1518039734
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER WU MD

Provider Business Mailing Address
First Line	:	2101 E JEFFERSON ST
Second Line	:	KAISER PERMANENTE MEDICARE ENROLLMENT
City	:	ROCKVILLE
State	:	MD
Zip	:	20852-4908
Country	:	US
Telephone Number	:	301-816-2424
Fax Number	:

Provider Business Practice Location Address
First Line	:	7141 SECURITY BLVD
Second Line	:	KAISER PERMANENTE WOODLAWN MEDICAL CENTER
City	:	WINDSOR MILL
State	:	MD
Zip	:	21244-1811
Country	:	US
Telephone Number	:	443-663-6000
Fax Number	:

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

Provider Enumeration Date	:	11/14/2006
Last Update Date	:	12/06/2012

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Directions to “ CHRISTOPHER WU MD” Practice Location

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