Provider Demographics
NPI:1881651313
Name:CHUE, BEN MANFAI (MD)
Entity Type:Individual
Prefix:DR
First Name:BEN
Middle Name:MANFAI
Last Name:CHUE
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 1:524 12TH AVE E APT 203
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98102-5016
Mailing Address - Country:US
Mailing Address - Phone:206-686-1266
Mailing Address - Fax:206-686-1268
Practice Address - Street 1:524 12TH AVE E APT 203
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98102-5016
Practice Address - Country:US
Practice Address - Phone:206-686-1266
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-27
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00031006207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
110189278OtherMEDICARE RAILROAD
WA4030700001Medicare NSC
110189278OtherMEDICARE RAILROAD
WAGAB03205Medicare PIN