Provider Demographics
NPI:1356532261
Name:LIN, CHUN HUIE (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:CHUN
Middle Name:HUIE
Last Name:LIN
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 PARNASSUS AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143-2204
Mailing Address - Country:US
Mailing Address - Phone:415-353-2873
Mailing Address - Fax:415-353-8839
Practice Address - Street 1:505 PARNASSUS AVE
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-2204
Practice Address - Country:US
Practice Address - Phone:415-353-2873
Practice Address - Fax:415-353-8839
Is Sole Proprietor?:No
Enumeration Date:2007-08-06
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP3191207RI0011X, 207RA0002X
MO2008014378207RI0011X, 207RA0002X, 207RC0000X
CAC201112207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RA0002XAllopathic & Osteopathic PhysiciansInternal MedicineAdult Congenital Heart Disease
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP01086543OtherRR MEDICARE
TX305349803Medicaid
TXP01309346OtherRR MEDICARE
TX305349801Medicaid
TX1356532261OtherBLUE CROSS BLUE SHIELD
TX8DH222OtherBCBS
TX8ED114OtherBLUE CROSS BLUE SHIELD
TX305349803Medicaid
TXTXB158810Medicare PIN
TX339868ZSWDMedicare PIN