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Individual

KATHY CHILAN CHU

Active
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Individual

KATHY CHILAN CHU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
034317
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000463064D
GA
01
10063633
AMERIGROUP
GA
01
110214427
RR MEDICARE
GA
01
349737
WELLCARE
GA
05
G34317
SC
Enumeration date
06/14/2006
Last updated
02/11/2022
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