Individual
CHUL H CHAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
A72181
CA
2085R0202X
Diagnostic Radiology Physician
Primary
A72181
CA
2085R0204X
Vascular & Interventional Radiology Physician
A72181
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A721810
—
CA
01
—
A72181
STATE LICENSE
CA
Enumeration date
09/13/2006
Last updated
01/26/2009
Update your record
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