Provider Demographics
NPI:1902463375
Name:CHUI, MICHAEL HERMAN (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:HERMAN
Last Name:CHUI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:M. HERMAN
Other - Middle Name:
Other - Last Name:CHUI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:929 N WOLFE ST UNIT 1011
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21205-1179
Mailing Address - Country:US
Mailing Address - Phone:443-698-2499
Mailing Address - Fax:
Practice Address - Street 1:401 N BROADWAY ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287-0019
Practice Address - Country:US
Practice Address - Phone:443-698-2499
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-21
Last Update Date:2019-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY298147207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology