Provider Demographics
NPI:1396933552
Name:CHEN, AILING (MD)
Entity type:Individual
Prefix:DR
First Name:AILING
Middle Name:
Last Name:CHEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1818 CHAPEL DR
Mailing Address - Street 2:SUIT C
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-1335
Mailing Address - Country:US
Mailing Address - Phone:419-424-0180
Mailing Address - Fax:419-424-0257
Practice Address - Street 1:1818 CHAPEL DR
Practice Address - Street 2:SUIT C
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840
Practice Address - Country:US
Practice Address - Phone:419-424-0180
Practice Address - Fax:419-424-0257
Is Sole Proprietor?:No
Enumeration Date:2007-10-11
Last Update Date:2011-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35095448208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2658771Medicaid
PE4185981Medicare PIN