Provider Demographics
NPI:1205814472
Name:CHIU, SIN-CHING (MD)
Entity Type:Individual
Prefix:DR
First Name:SIN-CHING
Middle Name:
Last Name:CHIU
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 1:4235 SECOR RD
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43623-4231
Mailing Address - Country:US
Mailing Address - Phone:419-473-3561
Mailing Address - Fax:
Practice Address - Street 1:4139 N HOLLAND SYLVANIA RD
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43623-3538
Practice Address - Country:US
Practice Address - Phone:419-885-7212
Practice Address - Fax:419-885-7204
Is Sole Proprietor?:No
Enumeration Date:2006-01-06
Last Update Date:2016-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301055329207Q00000X
OH35057100207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2983553Medicaid
MIE61985Medicare UPIN
MI231959Medicare Oscar/Certification
OH2983553Medicaid
MI231958Medicare Oscar/Certification
MI231957Medicare Oscar/Certification
MI231956Medicare Oscar/Certification
MI4113960OtherAETNA
MI231956Medicare Oscar/Certification
MI05815OtherHEALTH PLAN OF MICHIGAN
MI700E86031OtherBCBS OF MICHIGAN
MI231959Medicare Oscar/Certification
MI231958Medicare Oscar/Certification
MI02214OtherPARAMOUNT
OH9310221Medicare PIN
OH000000146178OtherANTHEM
MIE61985OtherHEALTH ALLIANCE PLAN
OH2032428Medicaid
OH4027881Medicare PIN