Provider Demographics
NPI:1992257018
Name:MICHAEL W CHU, MD, INC
Entity type:Organization
Organization Name:MICHAEL W CHU, MD, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:WENIN
Authorized Official - Last Name:CHU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:916-744-2627
Mailing Address - Street 1:2901 K ST
Mailing Address - Street 2:STE 209
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-5124
Mailing Address - Country:US
Mailing Address - Phone:916-744-2627
Mailing Address - Fax:916-737-5226
Practice Address - Street 1:2901 K ST
Practice Address - Street 2:STE 209
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-5124
Practice Address - Country:US
Practice Address - Phone:916-744-2627
Practice Address - Fax:916-737-5226
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-25
Last Update Date:2016-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA93972207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty