Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0003X | Hematology & Oncology | MD467175 | PA |
Y | 207RX0202X | Medical Oncology | 35.139098 | OH |
NPI | 1104260744 |
---|---|
Provider Name | Richard Chenghan Wu |
First Address | Columbus, OH 43202-1559 |
Second Address | Columbus, OH 43210-1240 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2013 |
Last Update Date | 19/11/2020 |