MEDICARE: JOSEPH CHUNGSUN CHAO 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
1	207R00000X	Internal Medicine Physician	A45961	CA
2	207RC0000X	Cardiovascular Disease Physician	A45961	CA

Other Identifiers

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

General Provider Information

NPI Number	:	1992891493
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH CHUNGSUN CHAO M.D.

Provider Business Mailing Address
First Line	:	525 SOUTH DR STE 105
Second Line	:
City	:	MOUNTAIN VIEW
State	:	CA
Zip	:	94040-4211
Country	:	US
Telephone Number	:	650-962-0242
Fax Number	:	650-962-8657

Provider Business Practice Location Address
First Line	:	525 SOUTH DRIVE
Second Line	:	SUITE 105
City	:	MOUNTAIN VIEW
State	:	CA
Zip	:	94040-4211
Country	:	US
Telephone Number	:	650-962-0242
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/04/2006
Last Update Date	:	04/15/2024

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