Provider Demographics
NPI:1184725442
Name:CHUA, ROBERT A (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:A
Last Name:CHUA
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Gender:M
Credentials:MD
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Mailing Address - Street 1:501 E HOSPITAL LN
Mailing Address - Street 2:ROOM 104
Mailing Address - City:TERRE HAUTE
Mailing Address - State:IN
Mailing Address - Zip Code:47802-4230
Mailing Address - Country:US
Mailing Address - Phone:812-232-5518
Mailing Address - Fax:812-235-8908
Practice Address - Street 1:501 E HOSPITAL LN
Practice Address - Street 2:ROOM 104
Practice Address - City:TERRE HAUTE
Practice Address - State:IN
Practice Address - Zip Code:47802-4230
Practice Address - Country:US
Practice Address - Phone:812-232-5518
Practice Address - Fax:812-235-8908
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2020-11-09
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Provider Licenses
StateLicense IDTaxonomies
IN01052731A207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
INH22103Medicare UPIN