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NPI Code Detail

MEDICARE: IVANE C CHUA MD

MEDICARE:   IVANE C CHUA  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
1208C00000XColon & Rectal Surgery PhysicianD89528MD
2208C00000XColon & Rectal Surgery PhysicianTBDMO

General Provider Information

NPI Number : 1922325760
Entity Type Code : Individual
Provider Name (Legal Business Name) : IVANE C CHUA MD
Provider Business Mailing Address
First Line : 900 ELKRIDGE LANDING RD FL 2
Second Line :
City : LINTHICUM
State : MD
Zip : 21090-2924
Country : US
Telephone Number : 443-462-5010
Fax Number :
Provider Business Practice Location Address
First Line : 7505 OSLER DR STE 214
Second Line :
City : TOWSON
State : MD
Zip : 21204-7738
Country : US
Telephone Number : 410-427-2588
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2010
Last Update Date : 02/08/2024

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Directions to “ IVANE C CHUA MD” Practice Location

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