| Robert A. Chua, Md Inc | |
|
501 E Hospital Ln Suite 103 Terre Haute IN 47802-4230 | |
| (812) 234-0293 | |
| (812) 235-8908 |
| Full Name | Robert A. Chua, Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 501 E Hospital Ln, Terre Haute, Indiana |
| Authorized Official Name and Position | Robert A Chua (PRESIDENT) |
| Authorized Official Contact | 8122340293 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert A. Chua, Md Inc 501 E Hospital Ln Suite 103 Terre Haute IN 47802-4230 Ph: (812) 234-0293 | Robert A. Chua, Md Inc 501 E Hospital Ln Suite 103 Terre Haute IN 47802-4230 Ph: (812) 234-0293 |
| NPI Number | 1275731002 |
|---|---|
| Provider Enumeration Date | 07/03/2007 |
| Last Update Date | 08/23/2011 |
| Medicare PECOS PAC ID | 6204936149 |
|---|---|
| Medicare Enrollment ID | O20070707000054 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275731002 | NPI | - | NPPES |
| 200273740B | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 01052731A (Indiana) | Primary |
| Provider Name | Robert Andres Chua |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184725442 PECOS PAC ID: 8123128063 Enrollment ID: I20070707000051 |
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