Provider Demographics
NPI:1669450342
Name:OU, CHAUSU (MD)
Entity Type:Individual
Prefix:
First Name:CHAUSU
Middle Name:
Last Name:OU
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 1:10330 MERIDIAN AVE N
Mailing Address - Street 2:SUITE 372
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-9451
Mailing Address - Country:US
Mailing Address - Phone:206-368-6175
Mailing Address - Fax:206-368-6121
Practice Address - Street 1:10330 MERIDIAN AVE N
Practice Address - Street 2:SUITE 372
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98133-9451
Practice Address - Country:US
Practice Address - Phone:206-368-6175
Practice Address - Fax:206-368-6121
Is Sole Proprietor?:No
Enumeration Date:2006-01-04
Last Update Date:2007-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00019674207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1099928Medicaid
WAMD00019674OtherMD LICENSE
WAAB17503Medicare UPIN
WAMD00019674OtherMD LICENSE