Provider Demographics
NPI:1952663635
Name:CHEA, ANUCHEAT (MD)
Entity Type:Individual
Prefix:
First Name:ANUCHEAT
Middle Name:
Last Name:CHEA
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 1:100 DRAKES LANDING RD STE 225
Mailing Address - Street 2:
Mailing Address - City:GREENBRAE
Mailing Address - State:CA
Mailing Address - Zip Code:94904-3119
Mailing Address - Country:US
Mailing Address - Phone:415-526-8726
Mailing Address - Fax:415-526-8729
Practice Address - Street 1:100 DRAKES LANDING RD STE 225
Practice Address - Street 2:
Practice Address - City:GREENBRAE
Practice Address - State:CA
Practice Address - Zip Code:94904-3119
Practice Address - Country:US
Practice Address - Phone:415-526-8726
Practice Address - Fax:415-526-8729
Is Sole Proprietor?:No
Enumeration Date:2012-06-08
Last Update Date:2012-06-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA121459207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease