Provider Demographics
NPI:1629161252
Name:CHIN, NEEOO W (MD)
Entity Type:Individual
Prefix:DR
First Name:NEEOO
Middle Name:W
Last Name:CHIN
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 1:7671 TYLERS PLACE BLVD
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-6331
Mailing Address - Country:US
Mailing Address - Phone:513-326-4300
Mailing Address - Fax:513-326-4306
Practice Address - Street 1:7671 TYLERS PLACE BLVD
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-6331
Practice Address - Country:US
Practice Address - Phone:513-326-4300
Practice Address - Fax:513-326-4306
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2018-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY27720207VE0102X
OH35051617C207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
F90477Medicare UPIN
CH0768131Medicare ID - Type Unspecified