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NPI Code Detail

MEDICARE: HENRY THICKBIN CHIN MD

MEDICARE: HENRY THICKBIN CHIN 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
1207R00000XInternal Medicine Physician168429-1NY

Other Identifiers

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

General Provider Information

NPI Number : 1891705844
Entity Type Code : Individual
Provider Name (Legal Business Name) : HENRY THICKBIN CHIN MD
Provider Business Mailing Address
First Line : 265 BROOKVIEW CENTRE WAY STE 203
Second Line :
City : KNOXVILLE
State : TN
Zip : 37919-4052
Country : US
Telephone Number : 800-342-2898
Fax Number :
Provider Business Practice Location Address
First Line : 1072 GRAND CONCOURSE
Second Line :
City : BRONX
State : NY
Zip : 10456-3901
Country : US
Telephone Number : 718-681-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2006
Last Update Date : 11/21/2023

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