Provider Demographics
NPI:1457368193
Name:CHIU, MEGHAN M (MD)
Entity Type:Individual
Prefix:
First Name:MEGHAN
Middle Name:M
Last Name:CHIU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:P.O. BOX 3509
Mailing Address - Street 2:
Mailing Address - City:PRINCE FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:20678
Mailing Address - Country:US
Mailing Address - Phone:410-535-5959
Mailing Address - Fax:410-414-4662
Practice Address - Street 1:130 HOSPITAL RD
Practice Address - Street 2:SUITE 207
Practice Address - City:PRINCE FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:20678
Practice Address - Country:US
Practice Address - Phone:410-535-5959
Practice Address - Fax:410-414-4662
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2011-10-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD00588572080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD511205200Medicaid
MD61673505OtherCAREFIRST BCBS
MDJ7730001OtherCAREFIRST BCBS
MD51120520000Medicaid
H 79318Medicare UPIN
MD51120520000Medicaid