1194751867 NPI number — WEST END OBSTETRICS & GYNECOLOGY, PC

Table of content: DR. JUDY CHIUNG HU MD (NPI 1912088980)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1194751867 NPI number — WEST END OBSTETRICS & GYNECOLOGY, PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WEST END OBSTETRICS & GYNECOLOGY, PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

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:
1194751867
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/07/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 79164
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BALTIMORE
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21279-0164
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
804-282-9479
Provider Business Mailing Address Fax Number:
808-285-9805

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7601 FOREST AVE
Provider Second Line Business Practice Location Address:
SUITE 100
Provider Business Practice Location Address City Name:
RICHMOND
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
23229-4933
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
804-282-9479
Provider Business Practice Location Address Fax Number:
804-285-9805
Provider Enumeration Date:
06/24/2006

Additional Information

Authorized Official

Authorized Official Last Name:
MCDANIEL
Authorized Official First Name:
CAROLYN
Authorized Official Middle Name:
D
Authorized Official Title or Position:
PRACTICE ADMINISTRATOR
Authorized Official Telephone Number:
804-282-9479

Provider Taxonomy Codes

  • Taxonomy code: 174400000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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