Provider Demographics
NPI:1679775365
Name:CHU, MU TEK (MD)
Entity Type:Individual
Prefix:DR
First Name:MU
Middle Name:TEK
Last Name:CHU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:MUTEK
Other - Middle Name:CHU
Other - Last Name:GEWECKE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1164 CORRAL AVE
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94086-7009
Mailing Address - Country:US
Mailing Address - Phone:408-746-0613
Mailing Address - Fax:650-941-1473
Practice Address - Street 1:710 LAWRENCE EXPY
Practice Address - Street 2:#472
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95051-5173
Practice Address - Country:US
Practice Address - Phone:408-851-4650
Practice Address - Fax:408-851-4629
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA033445207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology