Provider Demographics
NPI:1548968621
Name:CHU, TREVOR SIN-SHUN
Entity type:Individual
Prefix:
First Name:TREVOR
Middle Name:SIN-SHUN
Last Name:CHU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2187 MARSH SEDGE LN
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32792-3141
Mailing Address - Country:US
Mailing Address - Phone:407-633-0170
Mailing Address - Fax:
Practice Address - Street 1:2187 MARSH SEDGE LN
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-3141
Practice Address - Country:US
Practice Address - Phone:407-633-0170
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-20
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program