Provider Demographics
NPI:1942297833
Name:CHEN-LEE, RENEE HUI-CHUN (DO)
Entity Type:Individual
Prefix:DR
First Name:RENEE
Middle Name:HUI-CHUN
Last Name:CHEN-LEE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:RENEE
Other - Middle Name:HUI-CHUN
Other - Last Name:CHEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:9910 FRANKLIN SQUARE DR # 2110
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21236-4902
Mailing Address - Country:US
Mailing Address - Phone:410-933-5412
Mailing Address - Fax:410-933-1390
Practice Address - Street 1:618 I ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20001
Practice Address - Country:US
Practice Address - Phone:202-842-1118
Practice Address - Fax:202-842-4449
Is Sole Proprietor?:No
Enumeration Date:2005-10-05
Last Update Date:2018-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0102050258207R00000X
DCDO 31502207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC027139300Medicaid
VA5861136Medicaid
71050003OtherBLUE CROSS/BLUE SHIELD
VA337640OtherANTHEM BC/BS
MD773701701Medicaid
500133OtherNCPPO
7164169OtherAETNA HEALTHCARE
DC337641OtherANTHEM BC/BS
7164169OtherAETNA HEALTHCARE
DC337641OtherANTHEM BC/BS