Provider Demographics
NPI:1467450171
Name:CHEE-AWAI, RONALD ANDREW (MD)
Entity Type:Individual
Prefix:MR
First Name:RONALD
Middle Name:ANDREW
Last Name:CHEE-AWAI
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 1:4325 SUN 'N LAKE BLVD, SUITE 105
Mailing Address - Street 2:FHHMC UROLOGY SPECIALISTS
Mailing Address - City:SEBRING
Mailing Address - State:FL
Mailing Address - Zip Code:33872
Mailing Address - Country:US
Mailing Address - Phone:863-382-2248
Mailing Address - Fax:863-382-1242
Practice Address - Street 1:4325 SUN 'N LAKE BLVD, SUITE 105
Practice Address - Street 2:FHHMC UROLOGY SPECIALISTS
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33872
Practice Address - Country:US
Practice Address - Phone:863-382-2248
Practice Address - Fax:863-382-1242
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2016-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME128899208800000X
LA14270R208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS07439301Medicaid
LA340019366OtherMEDICARE RAILROAD
LA7789033OtherAETNA
LA1900278OtherUNITED HEALTHCARE
LA3434542001OtherCIGNA
LA1105864Medicaid
LA367982YH3UMedicare PIN
MS07439301Medicaid
LA7789033OtherAETNA