Provider Demographics
NPI:1013116557
Name:CHEW, KARA (MD)
Entity Type:Individual
Prefix:DR
First Name:KARA
Middle Name:
Last Name:CHEW
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:10833 LE CONTE AVE
Mailing Address - Street 2:37-121 CHS
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90095-3075
Mailing Address - Country:US
Mailing Address - Phone:310-825-7225
Mailing Address - Fax:310-825-3632
Practice Address - Street 1:10833 LE CONTE AVE
Practice Address - Street 2:37-121 CHS
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90095-3075
Practice Address - Country:US
Practice Address - Phone:310-825-7225
Practice Address - Fax:310-825-3632
Is Sole Proprietor?:No
Enumeration Date:2007-07-14
Last Update Date:2013-06-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA99247207R00000X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1013116557Medicaid
CAEZ092ZMedicare PIN