Provider Demographics
NPI:1689615312
Name:CHYU, RAYMOND W (MD)
Entity Type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:W
Last Name:CHYU
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 1:2281 PARAGON DR
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95131-1307
Mailing Address - Country:US
Mailing Address - Phone:408-244-2100
Mailing Address - Fax:408-244-6596
Practice Address - Street 1:2281 PARAGON DR
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95131-1307
Practice Address - Country:US
Practice Address - Phone:408-244-2100
Practice Address - Fax:408-244-6596
Is Sole Proprietor?:No
Enumeration Date:2006-06-10
Last Update Date:2015-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA70030174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A703000Medicaid
CAAO880WMedicare PIN
CAI04295Medicare UPIN
CAAO880YMedicare PIN
CA00A703000Medicaid
CAAO880QMedicare PIN
CAAO880RMedicare PIN
CAAO880SMedicare PIN
CAAO880XMedicare PIN
CA00A700300Medicare PIN
CAAO880UMedicare PIN