Provider Demographics
NPI:1700814118
Name:HU, CHARLES K (MD)
Entity type:Individual
Prefix:
First Name:CHARLES
Middle Name:K
Last Name:HU
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 33269
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85067-3269
Mailing Address - Country:US
Mailing Address - Phone:602-406-4786
Mailing Address - Fax:916-636-4358
Practice Address - Street 1:485 S DOBSON RD STE 201
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-5604
Practice Address - Country:US
Practice Address - Phone:480-728-4700
Practice Address - Fax:480-728-4747
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2024-12-09
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Provider Licenses
StateLicense IDTaxonomies
AZ364952086S0102X, 2086S0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A848430Medicaid
CA00A848430Medicaid
CA00A848430Medicare PIN