Provider Demographics
NPI:1851304083
Name:CHIN, FAITH E (DPM)
Entity Type:Individual
Prefix:DR
First Name:FAITH
Middle Name:E
Last Name:CHIN
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11636 STEWART LN
Mailing Address - Street 2:APT. 204
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-2485
Mailing Address - Country:US
Mailing Address - Phone:301-680-8896
Mailing Address - Fax:301-680-8896
Practice Address - Street 1:6939 GEORGIA AVE NW
Practice Address - Street 2:SUITE 103
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20012-2456
Practice Address - Country:US
Practice Address - Phone:202-882-0288
Practice Address - Fax:202-882-0285
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-15
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC774000509213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC011322300Medicaid
DCU24218Medicare UPIN
DC011322300Medicaid