Provider Demographics
NPI:1528315819
Name:GO, CHRISTINE GISEL CHU (MD)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINE GISEL
Middle Name:CHU
Last Name:GO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:CHRISTINE GISEL
Other - Middle Name:WEE
Other - Last Name:CHU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6315 ARDEA COURT
Mailing Address - Street 2:
Mailing Address - City:GRANITE BAY
Mailing Address - State:CA
Mailing Address - Zip Code:95746
Mailing Address - Country:US
Mailing Address - Phone:646-588-9520
Mailing Address - Fax:423-857-2070
Practice Address - Street 1:1650 RESPONSE RD
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95815
Practice Address - Country:US
Practice Address - Phone:276-431-2648
Practice Address - Fax:276-431-2082
Is Sole Proprietor?:No
Enumeration Date:2012-08-06
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZNONE208000000X
VA0101253328208000000X
CAA142476208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics