Individual provider · NPI-1

Samuel Chu, MD

Internal Medicine · Lynnwood, WA

NPI number1245322700
StatusActive
Last updated in NPPESFeb 28, 2020

Details

NPI
1245322700
Entity type
Individual (NPI-1)
Name
Samuel Chu
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 29, 2006
Certification date
Feb 28, 2020
Last updated
Feb 28, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineMD00031801WAYes
208000000X PediatricsMD00031801WA

Practice location

4713 168th St Sw Ste 105
Lynnwood, WA 98037-6813

Phone 425-743-7000 · Fax 425-743-7373

Mailing address

4713 168th St Sw Ste 105
Lynnwood, WA 98037-6813

Phone 425-743-7000 · Fax 425-743-7373

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