Provider Demographics
NPI:1740245026
Name:FUH, CHENN-YOW (MD)
Entity Type:Individual
Prefix:DR
First Name:CHENN-YOW
Middle Name:
Last Name:FUH
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:PO BOX 2321
Mailing Address - Street 2:
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95344-0321
Mailing Address - Country:US
Mailing Address - Phone:209-722-3311
Mailing Address - Fax:209-722-3313
Practice Address - Street 1:382 W OLIVE AVE
Practice Address - Street 2:
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95348-3137
Practice Address - Country:US
Practice Address - Phone:209-722-3311
Practice Address - Fax:209-722-3313
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-19
Last Update Date:2015-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA38829207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A388290Medicaid
CAA38829OtherCALIFORNIA LICENCE
00A388290Medicare PIN
CAA38829OtherCALIFORNIA LICENCE