Provider Demographics
NPI:1619354594
Name:WU CHAO YING, VALERIE (MD)
Entity Type:Individual
Prefix:DR
First Name:VALERIE
Middle Name:
Last Name:WU CHAO YING
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 1:1120 N.W. 14 STREET
Mailing Address - Street 2:CRB BUILDING ROOM 450D
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136
Mailing Address - Country:US
Mailing Address - Phone:305-243-2424
Mailing Address - Fax:305-243-4670
Practice Address - Street 1:1120 N.W. 14 STREET
Practice Address - Street 2:CRB BUILDING ROOM 450D
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136
Practice Address - Country:US
Practice Address - Phone:305-243-2424
Practice Address - Fax:305-243-4670
Is Sole Proprietor?:No
Enumeration Date:2015-04-30
Last Update Date:2016-03-04
Deactivation Date:2015-12-09
Deactivation Code:
Reactivation Date:2016-02-08
Provider Licenses
StateLicense IDTaxonomies
FL390200000X
FLTRN21936390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program