Provider Demographics
NPI:1851352587
Name:CHU, JEANINE N (MD)
Entity Type:Individual
Prefix:DR
First Name:JEANINE
Middle Name:N
Last Name:CHU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:JEANINE
Other - Middle Name:N
Other - Last Name:CHU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:ARLINGTON PRIMARY CARE,P.C.
Mailing Address - Street 2:1635 NORTH GEORGE MASON DRIVE, SUITE 490
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22205-3671
Mailing Address - Country:US
Mailing Address - Phone:703-522-5300
Mailing Address - Fax:703-908-0148
Practice Address - Street 1:ARLINGTON PRIMARY CARE,P.C.
Practice Address - Street 2:1635 NORTH GEORGE MASON DRIVE, SUITE 490
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22205-3671
Practice Address - Country:US
Practice Address - Phone:703-522-5300
Practice Address - Fax:703-908-0148
Is Sole Proprietor?:No
Enumeration Date:2006-03-31
Last Update Date:2010-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101050847207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0101050847OtherSTATE LIC #
VA822999OtherGROUP MEDICARE #
VA822999OtherGROUP MEDICARE #
VAF87674Medicare UPIN