1598733677 NPI number — CHUN-HUAI CHAO MD

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1598733677 NPI number — CHUN-HUAI CHAO MD

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

CHAO

Provider First Name:

CHUN-HUAI

Provider Middle Name:

Provider Name Prefix Text:

Provider Name Suffix Text:

Provider Credential Text:

MD

Provider Gender Code:

M

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:

1598733677

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

10/10/2023

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

PO BOX 1646

Provider Second Line Business Mailing Address:

Provider Business Mailing Address City Name:

MANCHESTER

Provider Business Mailing Address State Name:

NH

Provider Business Mailing Address Postal Code:

03105-1646

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

315-447-6778

Provider Business Mailing Address Fax Number:

Provider First Line Business Practice Location Address:

172 KINSLEY ST

Provider Second Line Business Practice Location Address:

Provider Business Practice Location Address City Name:

NASHUA

Provider Business Practice Location Address State Name:

NH

Provider Business Practice Location Address Postal Code:

03060-3648

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

315-447-6778

Provider Business Practice Location Address Fax Number:

Provider Enumeration Date:

03/14/2006

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 207L00000X , with the licence number:  1925-320 , registered in the state of WI ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
• Taxonomy code: 207L00000X , with the licence number: 253691 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

• Identifier: 140299102 . This is a "FIRSTCARE COMMERCIAL" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
• Identifier: 171743102 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
• Identifier: 171743103 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
• Identifier: 8BK796 . This is a "BCBS" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
• Identifier: 202000306 , issued by the state of ( NM ) . This identifiers is of the category "MEDICAID".
• Identifier: 8M0238 . This is a "BC/BS" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
• Identifier: 1800180 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".
• Identifier: 202000306 . This is a "PRESBYTERIAN COMMERCIAL" identifier , issued by the state of ( NM ) . This identifiers is of the category "OTHER".
• Identifier: 54581222 , issued by the state of ( NM ) . This identifiers is of the category "MEDICAID".
• Identifier: 8M1172 . This is a "HMO BLUE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
• Identifier: 140299103 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
• Identifier: 171743106 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
• Identifier: 200064680A , issued by the state of ( OK ) . This identifiers is of the category "MEDICAID".