Provider Demographics
NPI:1285898155
Name:CHA, HYUK C (MD)
Entity type:Individual
Prefix:DR
First Name:HYUK
Middle Name:C
Last Name:CHA
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 N MAIN ST STE 600
Mailing Address - Street 2:
Mailing Address - City:CHELSEA
Mailing Address - State:MI
Mailing Address - Zip Code:48118-1703
Mailing Address - Country:US
Mailing Address - Phone:734-385-7255
Mailing Address - Fax:
Practice Address - Street 1:4972 W CLARK RD STE 201
Practice Address - Street 2:
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-0862
Practice Address - Country:US
Practice Address - Phone:734-385-7211
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-10
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301092930207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology