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NPI Code Detail

MEDICARE: DR. PEALE CHUANG M.D.

MEDICARE: DR. PEALE CHUANG 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
1207RN0300XNephrology Physician37788TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1649386665
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PEALE CHUANG M.D.
Provider Business Mailing Address
First Line : PO BOX 37938
Second Line :
City : CHARLOTTE
State : NC
Zip : 28237-7938
Country : US
Telephone Number : 704-332-0366
Fax Number : 704-971-0035
Provider Business Practice Location Address
First Line : 3158 FREEDOM DR STE 3101
Second Line :
City : CHARLOTTE
State : NC
Zip : 28208-0014
Country : US
Telephone Number : 704-348-2992
Fax Number : 704-971-0035
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2006
Last Update Date : 07/06/2023

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Directions to “ DR. PEALE CHUANG M.D.” Practice Location

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