Provider Demographics
NPI:1598797268
Name:CHIU, CHARLES YEN (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:YEN
Last Name:CHIU
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:185 BERRY STREET, BOX #0134
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94107
Mailing Address - Country:US
Mailing Address - Phone:415-514-8219
Mailing Address - Fax:415-889-6441
Practice Address - Street 1:185 BERRY ST STE 180A
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94107-1739
Practice Address - Country:US
Practice Address - Phone:415-514-8219
Practice Address - Fax:415-889-6441
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2017-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA81538207RI0200X
CAA81358208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist