Provider Demographics
NPI:1982893046
Name:LEE, CHYI-CHIA RICHARD (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:CHYI-CHIA
Middle Name:RICHARD
Last Name:LEE
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:DR
Other - First Name:RICHARD
Other - Middle Name:
Other - Last Name:LEE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD, PHD
Mailing Address - Street 1:119 AUTUMN WIND WAY
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-2872
Mailing Address - Country:US
Mailing Address - Phone:240-328-6818
Mailing Address - Fax:
Practice Address - Street 1:119 AUTUMN WIND WAY
Practice Address - Street 2:CAPITOL DERMATOPATHOLOY, L.L.C.
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-2872
Practice Address - Country:US
Practice Address - Phone:240-750-3165
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-15
Last Update Date:2020-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ41682207ZD0900X
WAMD00046527207ZD0900X, 207ZP0102X
TXM3296207ZD0900X, 207ZP0102X
FLME98836207ZD0900X, 207ZP0102X
VA0101242007207ZD0900X, 207ZP0102X
DCMD036752207ZD0900X, 207ZP0102X
CAA85600207ZD0900X, 207ZP0102X
MDD66319207ZP0102X, 207ZD0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZD0900XAllopathic & Osteopathic PhysiciansPathologyDermatopathology
No207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology