Provider Demographics
NPI:1598733677
Name:CHAO, CHUN-HUAI (MD)
Entity Type:Individual
Prefix:
First Name:CHUN-HUAI
Middle Name:
Last Name:CHAO
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:PO BOX 1646
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03105-1646
Mailing Address - Country:US
Mailing Address - Phone:315-447-6778
Mailing Address - Fax:
Practice Address - Street 1:172 KINSLEY ST
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-3648
Practice Address - Country:US
Practice Address - Phone:315-447-6778
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1925-320207L00000X
NY253691207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX140299102OtherFIRSTCARE COMMERCIAL
TX171743102Medicaid
TX171743103Medicaid
TX8BK796OtherBCBS
NM202000306Medicaid
TX8M0238OtherBC/BS
LA1800180Medicaid
NM202000306OtherPRESBYTERIAN COMMERCIAL
NM54581222Medicaid
TX8M1172OtherHMO BLUE
TX140299103Medicaid
TX171743106Medicaid
OK200064680AMedicaid
TX8K1653Medicare PIN
TXI23371Medicare UPIN
OK200064680AMedicaid
TX171743102Medicaid
TX140299103Medicaid