Individual
GONZALO T CHUA
Active
Individual
GONZALO T CHUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
Primary
01021628
IN
2085R0202X
Diagnostic Radiology Physician
01021628
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000556651
ANTHEM BCBS
IN
05
—
100348850
—
IN
01
—
P00275181
RAILROAD MEDICARE
IN
01
—
P00742701
RAILROAD MEDICARE
IN
Enumeration date
06/14/2006
Last updated
02/25/2010
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