Individual
SIMON WEN-WEI CHAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
145 KIMEL PARK DR STE 120, WINSTON SALEM, NC 27103-6983
(336) 768-3212
Mailing address
145 KIMEL PARK DR STE 120, WINSTON SALEM, NC 27103-6983
(336) 768-3212
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
200401041
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
145H5
BCBS
—
05
—
1780898676
—
VA
01
—
199218
MEDCOST
—
05
—
3810009081
—
WV
05
—
5906639
—
NC
01
—
810501
PARTNERS
—
01
—
9213088
AETNA
—
05
—
Q0104E
—
SC
Enumeration date
05/09/2007
Last updated
03/01/2019
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