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NPI Code Detail

MEDICARE: FRANKLIN M CHU MD

MEDICARE: FRANKLIN M CHU 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
1208800000XUrology PhysicianC395830CA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2340001502OTHERCARAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
300C395830OTHERCABLUE CROSS

General Provider Information

NPI Number : 1700809753
Entity Type Code : Individual
Provider Name (Legal Business Name) : FRANKLIN M CHU MD
Provider Business Mailing Address
First Line : 489 E 21ST ST
Second Line :
City : SAN BERNARDINO
State : CA
Zip : 92404-4816
Country : US
Telephone Number : 909-882-2973
Fax Number : 909-882-2681
Provider Business Practice Location Address
First Line : 489E 21ST ST
Second Line :
City : SAN BERNARDINO
State : CA
Zip : 92404-4816
Country : US
Telephone Number : 909-882-2973
Fax Number : 909-882-2681
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2006
Last Update Date : 09/03/2015

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