Provider Demographics
NPI:1689788325
Name:GOUW, LAUNCE GIE-CHUAN (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:LAUNCE
Middle Name:GIE-CHUAN
Last Name:GOUW
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 581700
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84158-1700
Mailing Address - Country:US
Mailing Address - Phone:801-213-3800
Mailing Address - Fax:801-585-0124
Practice Address - Street 1:2000 CIRCLE OF HOPE DR
Practice Address - Street 2:SUITE 4244
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84112-5550
Practice Address - Country:US
Practice Address - Phone:801-585-0100
Practice Address - Fax:801-585-0124
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2009-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT4977186-1205207R00000X, 207RH0000X, 207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RH0000XAllopathic & Osteopathic PhysiciansInternal MedicineHematology
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT333581OtherDMBA
UT96213OtherPEHP
UT870519691LGWOtherEMIA EDUCATORS MUTUAL
UTP00418344OtherRAILROAD MEDICARE
UT107046715102OtherSELECT HEALTH
UT311168OtherALTIUS
UT870519691LGWOtherEMIA EDUCATORS MUTUAL