Provider Demographics
NPI:1457466732
Name:CHUA, HENRY NG (MD)
Entity Type:Individual
Prefix:
First Name:HENRY
Middle Name:NG
Last Name:CHUA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 402514
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-0514
Mailing Address - Country:US
Mailing Address - Phone:305-249-5666
Mailing Address - Fax:305-249-5669
Practice Address - Street 1:100 NW 170TH ST
Practice Address - Street 2:STE 411
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33169-5513
Practice Address - Country:US
Practice Address - Phone:305-249-5666
Practice Address - Fax:305-249-5669
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-20
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME39730207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL176400OtherWELLCARE
FL33235OtherFIRST HEALTHNETWORK
FL4555824OtherAETNA
FL068925400Medicaid
FL11351OtherAVMED
FL54290OtherJMH HEALTHPLAN
FL96213OtherBCBS
FL9799OtherNHP
FL2198115OtherGHI
FL20211854OtherBEECHSTREET NETWORK
FL0651931-008OtherCIGNA
FL1021272OtherCAREPLUS
FL200871783OtherHUMANA
FL213966OtherAMERIGROUP
FLC016316OtherINTEGRATED HEALTHPLAN
FLD63777OtherVISTA
FLP00206686OtherRAILROAD MEDICARE
FL0000POtherPREFERRRED CARE PARTNERS
FL4555824OtherAETNA
FL96213OtherBCBS