Individual
DR. KENNY CHUU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6644 E BAYWOOD AVE, BANNER BAYWOOD MEDICAL CENTER, MESA, AZ 85206
(480) 321-3900
(480) 321-3840
Mailing address
6644 E BAYWOOD AVE, BANNER BAYWOOD MEDICAL CENTER, MESA, AZ 85206
(480) 321-3900
(480) 321-3840
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01069138A
IN
207R00000X
Internal Medicine Physician
2012017112
MO
207R00000X
Internal Medicine Physician
50684
AZ
208M00000X
Hospitalist Physician
Primary
50684
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619104254
—
MO
Enumeration date
06/22/2009
Last updated
10/06/2015
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