Provider Demographics
NPI:1578503462
Name:CHIEN, CHAU CHUN (MD)
Entity Type:Individual
Prefix:DR
First Name:CHAU
Middle Name:CHUN
Last Name:CHIEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3115 GEARY BLVD
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-3316
Mailing Address - Country:US
Mailing Address - Phone:415-981-6013
Mailing Address - Fax:415-876-4031
Practice Address - Street 1:3115 GEARY BLVD
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-3316
Practice Address - Country:US
Practice Address - Phone:415-981-6013
Practice Address - Fax:415-962-1302
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2017-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA458012084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
E60182Medicare UPIN