Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0003X | Hematology & Oncology | 22568 | AL |
Y | 207RH0003X | Hematology & Oncology | 41261 | KY |
NPI | 1013923846 |
---|---|
Provider Name | Winston Chua |
First Address | Paducah, KY 42003-3814 |
Second Address | Paducah, KY 42003-3814 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2006 |
Last Update Date | 02/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000537103 | ANTHEM (01) | KY |
009933001 | (05) | AL |
009982110 | (05) | AL |
051507516 | BC DECATUR (01) | AL |
051530906 | BC ATHENS (01) | AL |
H59382 | (02) | AL |