Provider Demographics
NPI:1588684534
Name:CHEN, CATHERINE W (MD)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:W
Last Name:CHEN
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 1:1300 W BROAD ST STE 2200
Mailing Address - Street 2:PO BOX 842022
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23284-9089
Mailing Address - Country:US
Mailing Address - Phone:804-828-8828
Mailing Address - Fax:804-828-1093
Practice Address - Street 1:1300 W BROAD ST STE 2200
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23284-9089
Practice Address - Country:US
Practice Address - Phone:804-828-8828
Practice Address - Fax:804-828-1093
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2012-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ33187207Q00000X
VA0101241416207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ914756Medicaid