Individual
CHARITO CHUA GO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
981225 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-5075
(402) 836-9288
(402) 559-8940
Mailing address
981225 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-1225
(402) 836-9288
(402) 559-8940
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
21065
OK
208100000X
Physical Medicine & Rehabilitation Physician
K5960
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0464885-07
IND TPI
TX
05
—
046488505
—
TX
05
—
200823140A
—
OK
01
—
2035487-02
GROUP TPI
TX
01
—
317142YMNO
MEDICARE PTAN
TX
01
—
8DW142
BCBS
TX
01
—
TXB102731
GROUP PTAN
TX
Enumeration date
06/09/2006
Last updated
05/09/2023
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