Provider Demographics
NPI:1932159654
Name:CHIU, MING SUNG (MD)
Entity type:Individual
Prefix:
First Name:MING
Middle Name:SUNG
Last Name:CHIU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2905 BOULEVARD
Mailing Address - Street 2:
Mailing Address - City:COLONIAL HEIGHTS
Mailing Address - State:VA
Mailing Address - Zip Code:23834-2400
Mailing Address - Country:US
Mailing Address - Phone:804-520-0040
Mailing Address - Fax:804-520-0043
Practice Address - Street 1:2905 BOULEVARD
Practice Address - Street 2:
Practice Address - City:COLONIAL HEIGHTS
Practice Address - State:VA
Practice Address - Zip Code:23834-2400
Practice Address - Country:US
Practice Address - Phone:804-520-0040
Practice Address - Fax:804-520-0043
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2008-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101029500207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
110056785OtherRAILROAD
VA006069347Medicaid
110056785OtherRAILROAD
VAB07552Medicare UPIN