Basic Information
| Provider Information | |||||||||
| NPI: | 1699764878 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CHAY | ||||||||
| FirstName: | CHRISTOPHER | ||||||||
| MiddleName: | HAEKANG | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 117287 | ||||||||
| Address2: | |||||||||
| City: | ATLANTA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 303687287 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2392748200 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 551 BREVARD RD | ||||||||
| Address2: | |||||||||
| City: | ASHEVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 288062316 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8282127021 | ||||||||
| FaxNumber: | 8282328218 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/19/2005 | ||||||||
| LastUpdateDate: | 09/01/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 09/01/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207K00000X | 97-01282 | NC | N | Allopathic & Osteopathic Physicians | Allergy & Immunology | 207RH0000X | 9701282 | NC | N | Allopathic & Osteopathic Physicians | Internal Medicine | Hematology | 207RX0202X | 9701282 | NC | N | Allopathic & Osteopathic Physicians | Internal Medicine | Medical Oncology | 207RH0003X | 9701282 | NC | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Hematology & Oncology |
ID Information
| ID | Type | State | Issuer | Description | 830008461 | 01 | NC | MEDICARE RAILROAD | OTHER | 132TA | 01 | NC | BLUE CROSS BLUE SHIELD NC | OTHER | 89132TA | 05 | NC | MEDICAID | 36-00301 | 01 | NC | UNITED HEALTHCARE | OTHER | 2437177 | 01 | NC | CIGNA | OTHER | B9479 | 01 | NC | MEDCOST | OTHER |