Basic Information
| Provider Information | |||||||||
| NPI: | 1972768216 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CHU | ||||||||
| FirstName: | JEFFREY | ||||||||
| MiddleName: | TING-YUAN | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 744785 | ||||||||
| Address2: | |||||||||
| City: | ATLANTA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 303744785 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2024765000 | ||||||||
| FaxNumber: | 5022725116 | ||||||||
| Practice Location | |||||||||
| Address1: | 111 MICHIGAN AVE NW | ||||||||
| Address2: | |||||||||
| City: | WASHINGTON | ||||||||
| State: | DC | ||||||||
| PostalCode: | 200102916 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2024765000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/25/2008 | ||||||||
| LastUpdateDate: | 11/26/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 11/26/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | MD041400 | DC | N | Allopathic & Osteopathic Physicians | Pediatrics | 208000000X | P4431 | TX | N | Allopathic & Osteopathic Physicians | Pediatrics | 208000000X | ME122576 | FL | N | Allopathic & Osteopathic Physicians | Pediatrics | 208000000X | D0067792 | MD | N | Allopathic & Osteopathic Physicians | Pediatrics | 208M00000X | D0067792 | MD | N | Allopathic & Osteopathic Physicians | Hospitalist | 208000000X | TP422 | KY | Y | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.