Provider Demographics
NPI:1881905420
Name:CHU, TAM (DO)
Entity type:Individual
Prefix:DR
First Name:TAM
Middle Name:
Last Name:CHU
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8700 E VIA DE VENTURA STE 130
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-4515
Mailing Address - Country:US
Mailing Address - Phone:480-970-0300
Mailing Address - Fax:480-556-1780
Practice Address - Street 1:8700 E VIA DE VENTURA STE 130
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-4515
Practice Address - Country:US
Practice Address - Phone:480-970-0300
Practice Address - Fax:480-556-1780
Is Sole Proprietor?:No
Enumeration Date:2010-06-29
Last Update Date:2023-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ006206207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ6206OtherMEDICAL LICENSE
AZ6206OtherMEDICAL LICENSE