Provider Demographics
NPI:1194924860
Name:CHIU, STEPHEN KUN (MD)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:KUN
Last Name:CHIU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 843223
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02284-3223
Mailing Address - Country:US
Mailing Address - Phone:910-417-4005
Mailing Address - Fax:910-417-4014
Practice Address - Street 1:809 S LONG DR
Practice Address - Street 2:SUITE H
Practice Address - City:ROCKINGHAM
Practice Address - State:NC
Practice Address - Zip Code:28379-4317
Practice Address - Country:US
Practice Address - Phone:910-417-4005
Practice Address - Fax:910-417-4014
Is Sole Proprietor?:No
Enumeration Date:2007-07-13
Last Update Date:2013-06-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2009-01195208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5912239Medicaid
NCFH100740OtherFIRSTCAROLINA CARE
NC5912239OtherNC MEDICAID
NC2075010Medicare PIN