Provider Demographics
NPI:1982788519
Name:CHU, ANN S (MD)
Entity Type:Individual
Prefix:DR
First Name:ANN
Middle Name:S
Last Name:CHU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ANN
Other - Middle Name:S
Other - Last Name:CHU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:4810 WHITESPORT CIR SW STE 200
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-7420
Mailing Address - Country:US
Mailing Address - Phone:256-429-5248
Mailing Address - Fax:256-429-5247
Practice Address - Street 1:4810 WHITESPORT CIR SW STE 200
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-7420
Practice Address - Country:US
Practice Address - Phone:256-429-5248
Practice Address - Fax:256-429-5247
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL16603207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL189514Medicaid
AL128671Medicaid
ALPENDINGMedicaid