Provider Demographics
NPI:1457668832
Name:CHUA, DIONE (MD)
Entity Type:Individual
Prefix:
First Name:DIONE
Middle Name:
Last Name:CHUA
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 1:12221 TULLAMORE RD
Mailing Address - Street 2:
Mailing Address - City:LUTHERVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21093-7816
Mailing Address - Country:US
Mailing Address - Phone:410-308-7859
Mailing Address - Fax:
Practice Address - Street 1:1838 GREENE TREE RD STE 300
Practice Address - Street 2:
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208-7109
Practice Address - Country:US
Practice Address - Phone:410-653-0366
Practice Address - Fax:410-653-2527
Is Sole Proprietor?:No
Enumeration Date:2010-09-08
Last Update Date:2019-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0079272207R00000X
NJ25MA09386600207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine