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NPI Code Detail

MEDICARE: DR. KASI MEREDITH CHU M.D.

MEDICARE: DR. KASI MEREDITH CHU 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
12083P0901XPublic Health & General Preventive Medicine Physician0101237919VA
22080A0000XPediatric Adolescent Medicine Physician0101237919VA

General Provider Information

NPI Number : 1770794554
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KASI MEREDITH CHU M.D.
Provider Business Mailing Address
First Line : 755 SCOTT CIR
Second Line :
City : JBPHH
State : HI
Zip : 96853-5399
Country : US
Telephone Number : 808-448-6234
Fax Number :
Provider Business Practice Location Address
First Line : 755 SCOTT CIR
Second Line :
City : JBPHH
State : HI
Zip : 96853-5399
Country : US
Telephone Number : 808-448-6234
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2007
Last Update Date : 04/28/2018

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