Provider Demographics
NPI:1629076914
Name:CHAI, DOU KYUNG (MD)
Entity Type:Individual
Prefix:DR
First Name:DOU
Middle Name:KYUNG
Last Name:CHAI
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 1:3 ST CATHERINE STREET
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:ME
Mailing Address - Zip Code:04330-5732
Mailing Address - Country:US
Mailing Address - Phone:207-623-3515
Mailing Address - Fax:207-626-9277
Practice Address - Street 1:3 ST CATHERINE STREET
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:ME
Practice Address - Zip Code:04330-5732
Practice Address - Country:US
Practice Address - Phone:207-623-3515
Practice Address - Fax:207-626-9277
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-11
Last Update Date:2007-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME7277207V00000X
ME007277207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEDX4508OtherMEDICARE PTAN
MED03717Medicare UPIN
ME023515Medicare PIN
MEDX4508OtherMEDICARE PTAN