Provider Demographics
NPI:1093468803
Name:CHEW, TERRENCE (MD)
Entity Type:Individual
Prefix:
First Name:TERRENCE
Middle Name:
Last Name:CHEW
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 1:1280 E TREASURE ISLAND DR
Mailing Address - Street 2:
Mailing Address - City:ALLYN
Mailing Address - State:WA
Mailing Address - Zip Code:98524-9706
Mailing Address - Country:US
Mailing Address - Phone:858-720-0647
Mailing Address - Fax:
Practice Address - Street 1:353 E VIA ESCUELA UNIT 226
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262-3072
Practice Address - Country:US
Practice Address - Phone:858-720-0647
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-01
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA026110207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty