Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 4301113525 | MI |
N | 2080P0204X | Pediatric Emergency Doctor | 036.138203 | IL |
NPI | 1093973521 |
---|---|
Provider Name | Dr. Kao-Ping Chua |
First Address | Ann Arbor, MI 48108 |
Second Address | Ann Arbor, MI 48108-3302 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2008 |
Last Update Date | 25/08/2017 |