Provider Demographics
NPI:1659367423
Name:CHU, YUN-SEN RALPH (MD)
Entity Type:Individual
Prefix:DR
First Name:YUN-SEN
Middle Name:RALPH
Last Name:CHU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9117 LYNDALE AVE S
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55420-3522
Mailing Address - Country:US
Mailing Address - Phone:952-835-1235
Mailing Address - Fax:952-835-1092
Practice Address - Street 1:9117 LYNDALE AVE S
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55420-3522
Practice Address - Country:US
Practice Address - Phone:952-835-1235
Practice Address - Fax:952-835-1092
Is Sole Proprietor?:No
Enumeration Date:2005-09-27
Last Update Date:2022-08-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN38792207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN288517400Medicaid
MN288517400Medicaid
MN180000911Medicare ID - Type Unspecified