MEDICARE: MICHAEL W CHU, MD, INC

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
1	207V00000X	Obstetrics & Gynecology Physician	A93972	CA

General Provider Information

NPI Number	:	1992257018
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MICHAEL W CHU, MD, INC

Provider Business Mailing Address
First Line	:	2901 K ST
Second Line	:	STE 209
City	:	SACRAMENTO
State	:	CA
Zip	:	95816-5124
Country	:	US
Telephone Number	:	916-744-2627
Fax Number	:	916-737-5226

Provider Business Practice Location Address
First Line	:	2901 K ST
Second Line	:	STE 209
City	:	SACRAMENTO
State	:	CA
Zip	:	95816-5124
Country	:	US
Telephone Number	:	916-744-2627
Fax Number	:	916-737-5226

Authorized Official
Title or Position	:	CEO
Name	:	DR. MICHAEL WENIN CHU
Credential	:	MD
Telephone Number	:	916-744-2627

Provider Enumeration Date	:	10/25/2016
Last Update Date	:	10/25/2016

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