Provider Demographics
NPI:1316957368
Name:CHU, PING S (MD)
Entity type:Individual
Prefix:
First Name:PING
Middle Name:S
Last Name:CHU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2555 S DOWNING ST STE 240
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-5855
Mailing Address - Country:US
Mailing Address - Phone:303-715-7030
Mailing Address - Fax:303-715-7035
Practice Address - Street 1:2555 S DOWNING ST STE 240
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-5855
Practice Address - Country:US
Practice Address - Phone:303-715-7030
Practice Address - Fax:303-715-7035
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-09
Last Update Date:2024-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH3989207RH0003X
CODR.0066528207RH0003X
IN01094215A207R00000X, 207RX0202X
VA0101281714207RX0202X, 207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX114175603Medicaid
TX1141756 03Medicaid
TX00B88EMedicare PIN
TX114175603Medicaid
TXD83925Medicare UPIN