MEDICARE: CAROLINA CHU

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	207Y00000X	Otolaryngology Physician	1578396602	WA

General Provider Information

NPI Number	:	1578396602
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROLINA CHU

Provider Business Mailing Address
First Line	:	EMORY UNIVERSITY SCHOOL OF MEDICINE 100 WOODRUFF CIRCLE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30322-0001
Country	:	US
Telephone Number	:	404-778-1367
Fax Number	:

Provider Business Practice Location Address
First Line	:	1959 NE PACIFIC ST
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98195-1009
Country	:	US
Telephone Number	:	206-598-4022
Fax Number	:

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

Provider Enumeration Date	:	08/23/2024
Last Update Date	:	08/08/2025

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Directions to “ CAROLINA CHU ” Practice Location

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