Provider Demographics
NPI:1104964527
Name:CHIU, ARVA YAHUA (MD)
Entity type:Individual
Prefix:DR
First Name:ARVA
Middle Name:YAHUA
Last Name:CHIU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1626 30TH AVE
Mailing Address - Street 2:
Mailing Address - City:FAIRBANKS
Mailing Address - State:AK
Mailing Address - Zip Code:99701
Mailing Address - Country:US
Mailing Address - Phone:907-452-2637
Mailing Address - Fax:877-410-0865
Practice Address - Street 1:1626 30TH AVE
Practice Address - Street 2:
Practice Address - City:FAIRBANKS
Practice Address - State:AK
Practice Address - Zip Code:99701
Practice Address - Country:US
Practice Address - Phone:907-452-2637
Practice Address - Fax:877-410-0865
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2014-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AKAK3428207R00000X
CAG075469207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKN2509OtherPREMERA BLUE CROSS
AKMD 34281Medicaid
AKG46085Medicare UPIN
AKMD 34281Medicaid