Provider Demographics
NPI:1982634705
Name:MANUEL J CHEE MD PC
Entity Type:Organization
Organization Name:MANUEL J CHEE MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MANUEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:CHEE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:480-981-9305
Mailing Address - Street 1:7525 E BROADWAY RD
Mailing Address - Street 2:SUITE 8
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85208-2002
Mailing Address - Country:US
Mailing Address - Phone:480-981-9305
Mailing Address - Fax:480-396-3835
Practice Address - Street 1:7525 E BROADWAY RD
Practice Address - Street 2:SUITE 8
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85208-2002
Practice Address - Country:US
Practice Address - Phone:480-981-9305
Practice Address - Fax:480-396-3835
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-04
Last Update Date:2007-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ106896Medicare PIN
AZ106896Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER