Provider Demographics
NPI:1609188614
Name:CHU, MARCUS YEE (MD)
Entity Type:Individual
Prefix:DR
First Name:MARCUS
Middle Name:YEE
Last Name:CHU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:MARK
Other - Middle Name:YEE
Other - Last Name:CHU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:507 W COMMERCE DR
Mailing Address - Street 2:
Mailing Address - City:BRYANT
Mailing Address - State:AR
Mailing Address - Zip Code:72022-7512
Mailing Address - Country:US
Mailing Address - Phone:501-847-0082
Mailing Address - Fax:501-847-6680
Practice Address - Street 1:507 W COMMERCE DR
Practice Address - Street 2:
Practice Address - City:BRYANT
Practice Address - State:AR
Practice Address - Zip Code:72022-7512
Practice Address - Country:US
Practice Address - Phone:501-847-0082
Practice Address - Fax:501-847-6680
Is Sole Proprietor?:No
Enumeration Date:2010-07-07
Last Update Date:2020-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE-7682207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR198488001Medicaid