1891957650 NPI number — DR. MATTHEW CHRISTOPHER CHU M.D.

Table of content: DR. MATTHEW CHRISTOPHER CHU M.D. (NPI 1891957650)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1891957650 NPI number — DR. MATTHEW CHRISTOPHER CHU M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CHU
Provider First Name:
MATTHEW
Provider Middle Name:
CHRISTOPHER
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1891957650
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/09/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
920 E 28TH ST
Provider Second Line Business Mailing Address:
MINNEAPOLIS HEART INSTITUTE, SUITE 300
Provider Business Mailing Address City Name:
MINNEAPOLIS
Provider Business Mailing Address State Name:
MN
Provider Business Mailing Address Postal Code:
55407-1139
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
612-863-4000
Provider Business Mailing Address Fax Number:
612-863-3887

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
800 E 28TH ST
Provider Second Line Business Practice Location Address:
ABBOTT NORTHWESTERN HOSPITAL
Provider Business Practice Location Address City Name:
MINNEAPOLIS
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55407-3723
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
612-863-4000
Provider Business Practice Location Address Fax Number:
612-863-3887
Provider Enumeration Date:
07/01/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RC0000X , with the licence number:  62459-20 , registered in the state of WI ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RC0000X , with the licence number: 52958 , registered in the state of MN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)