Individual
DR. JUSTIN MIN CHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2401 TERRA CROSSING BLVD STE 101, LOUISVILLE, KY 40245-5395
(502) 210-4602
(502) 210-4605
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0328
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
57801
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300077187
—
IN
05
—
7100691000
—
KY
Enumeration date
03/20/2019
Last updated
07/10/2023
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