Provider Demographics
NPI:1356581599
Name:CHIU, CHRISTOPHER SHIH HONG (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:SHIH HONG
Last Name:CHIU
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 1:31 DONG 7 HAO XINXIANG
Mailing Address - Street 2:DONG HU XIAO QU
Mailing Address - City:KASHI
Mailing Address - State:XINJIANG
Mailing Address - Zip Code:844000
Mailing Address - Country:CN
Mailing Address - Phone:860998-261-8990
Mailing Address - Fax:
Practice Address - Street 1:31 DONG 7 HAO XINXIANG
Practice Address - Street 2:DONG HU XIAO QU
Practice Address - City:KASHI
Practice Address - State:XINJIANG
Practice Address - Zip Code:8440002134
Practice Address - Country:CN
Practice Address - Phone:860998-261-8990
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-28
Last Update Date:2009-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN38137207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNF84092Medicare UPIN
MN00063Medicare PIN