Provider Demographics
NPI:1871537365
Name:CHU, KEITH H (MD)
Entity type:Individual
Prefix:
First Name:KEITH
Middle Name:H
Last Name:CHU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:8100 ASHTON AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20109-5688
Mailing Address - Country:US
Mailing Address - Phone:703-335-8750
Mailing Address - Fax:703-331-0254
Practice Address - Street 1:8100 ASHTON AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20109-5688
Practice Address - Country:US
Practice Address - Phone:703-335-8750
Practice Address - Fax:703-331-0254
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2011-09-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA101057299207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAC06380OtherVA PTAN
VAC09878OtherWHC PTAN
VA461210OtherANTHEM MANASSAS HEART
VAC08583OtherMHC PTAN
VA2551729OtherAETNA HMO
VA10029376Medicaid
VA2500646OtherUNITEDHEALTH CARE
VA505403OtherNCPPO
VA656999OtherOPT/MDIPA/MAMSI
VA10382079OtherCAQH
VA147648OtherSOUTHERN HEALTH
VA5417633OtherAETNA PPO
VA5859531Medicaid
VA6846536004OtherCIGNA HMO
VAJ0600004OtherCAREFIRST MANASSAS HEART
VA244654OtherANTHEM VIRGINIA CARDIO
VA70670003OtherCAREFIRST VCA
VA2551729OtherAETNA HMO
VA5859531Medicaid
VAC08583OtherMHC PTAN
VA244654OtherANTHEM VIRGINIA CARDIO