Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 4301085431 | MI |
N | 207RC0001X | Clinical Cardiac Electrophysiologist | 4301085431 | MI |
Y | 207RI0011X | Interventional Cardiology | 4301085431 | MI |
NPI | 1104886704 |
---|---|
Provider Name | Dr. Yu-Lam Christopher Chiu |
First Address | Saint Joseph, MI 49085-9159 |
Second Address | Saint Joseph, MI 49085-9159 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2006 |
Last Update Date | 23/07/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0M95350 | MEDICARE GROUP PIN (01) | |
4751365 | (05) | MI |
E30358 | (02) | MI |