Provider Demographics
NPI:1376687723
Name:CHIUTEN, DELIA FUNGSHE (MD)
Entity Type:Individual
Prefix:DR
First Name:DELIA
Middle Name:FUNGSHE
Last Name:CHIUTEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5304 BURNING OAK CT
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27606-9595
Mailing Address - Country:US
Mailing Address - Phone:919-733-0740
Mailing Address - Fax:919-733-0743
Practice Address - Street 1:3601 MSC CTR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27699-3601
Practice Address - Country:US
Practice Address - Phone:919-733-0740
Practice Address - Fax:919-733-0743
Is Sole Proprietor?:No
Enumeration Date:2007-02-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC37808174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist