Provider Demographics
NPI:1073787735
Name:CAPITOL HILL MEDICAL, PLLC
Entity type:Organization
Organization Name:CAPITOL HILL MEDICAL, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VY
Authorized Official - Middle Name:XUAN
Authorized Official - Last Name:CHU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:206-778-3816
Mailing Address - Street 1:901 BOREN AVE
Mailing Address - Street 2:SUITE 705
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-3595
Mailing Address - Country:US
Mailing Address - Phone:206-720-9999
Mailing Address - Fax:206-329-4444
Practice Address - Street 1:901 BOREN AVE
Practice Address - Street 2:SUITE 705
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-3595
Practice Address - Country:US
Practice Address - Phone:206-720-9999
Practice Address - Fax:206-329-4444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-14
Last Update Date:2013-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty