Provider Demographics
NPI:1912066358
Name:CHIU, KOU WEI (MD)
Entity type:Individual
Prefix:MR
First Name:KOU WEI
Middle Name:
Last Name:CHIU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:5833 AEDC RD
Mailing Address - Street 2:
Mailing Address - City:ESTILL SPRINGS
Mailing Address - State:TN
Mailing Address - Zip Code:37330-3915
Mailing Address - Country:US
Mailing Address - Phone:931-392-4169
Mailing Address - Fax:931-392-4187
Practice Address - Street 1:2020 COWAN HWY
Practice Address - Street 2:STE 2
Practice Address - City:WINCHESTER
Practice Address - State:TN
Practice Address - Zip Code:37398-2446
Practice Address - Country:US
Practice Address - Phone:931-361-0100
Practice Address - Fax:931-962-8856
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TNMD41405207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNP00967278OtherRAILROAD MEDICARE
TN3833371Medicaid
TN10308I5402Medicare PIN
TNI7337Medicare UPIN