Provider Demographics
NPI:1912122409
Name:CHEN, MINGKUI (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:MINGKUI
Middle Name:
Last Name:CHEN
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12501 E MARGINAL WAY S STE 200
Mailing Address - Street 2:
Mailing Address - City:TUKWILA
Mailing Address - State:WA
Mailing Address - Zip Code:98168-5163
Mailing Address - Country:US
Mailing Address - Phone:206-576-6053
Mailing Address - Fax:
Practice Address - Street 1:12501 E MARGINAL WAY S STE 200
Practice Address - Street 2:
Practice Address - City:TUKWILA
Practice Address - State:WA
Practice Address - Zip Code:98168-5163
Practice Address - Country:US
Practice Address - Phone:206-576-6053
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD61366624207ZP0102X
IL036.127425207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology