Provider Demographics
NPI:1558761890
Name:PU, CHAN YEU (MD)
Entity type:Individual
Prefix:DR
First Name:CHAN
Middle Name:YEU
Last Name:PU
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Gender:
Credentials:MD
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Mailing Address - Street 1:BMCHS PROVIDER ENROLLMENT
Mailing Address - Street 2:960 MASSACHUSETTS AVE FLR 2
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:PULMONARY AT ST. ELIZABETH'S MEDICAL CENTER
Practice Address - Street 2:77 WARREN ST SUITE 200
Practice Address - City:BRIGHTON
Practice Address - State:MA
Practice Address - Zip Code:02135
Practice Address - Country:US
Practice Address - Phone:617-789-2545
Practice Address - Fax:617-779-6991
Is Sole Proprietor?:No
Enumeration Date:2014-08-22
Last Update Date:2025-03-12
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Provider Licenses
StateLicense IDTaxonomies
IL125065720207R00000X
WI84537207RP1001X
MA290558207RP1001X, 207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease