Provider Demographics
NPI:1073615662
Name:CHIURA, ALLEN N (MD)
Entity Type:Individual
Prefix:DR
First Name:ALLEN
Middle Name:N
Last Name:CHIURA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2630 CAMPUS DR
Mailing Address - Street 2:
Mailing Address - City:KLAMATH FALLS
Mailing Address - State:OR
Mailing Address - Zip Code:97601-1105
Mailing Address - Country:US
Mailing Address - Phone:541-274-2991
Mailing Address - Fax:541-274-8925
Practice Address - Street 1:2630 CAMPUS DR
Practice Address - Street 2:
Practice Address - City:KLAMATH FALLS
Practice Address - State:OR
Practice Address - Zip Code:97601-1105
Practice Address - Country:US
Practice Address - Phone:541-274-2991
Practice Address - Fax:541-274-8925
Is Sole Proprietor?:No
Enumeration Date:2006-09-02
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD25632208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR277908Medicaid
OR130990Medicare PIN
OR277908Medicaid