Provider Demographics
NPI:1871792945
Name:CHAO, JOHN CHIA-SU (MD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:CHIA-SU
Last Name:CHAO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5505 PEACHTREE DUNWOODY RD
Mailing Address - Street 2:SUITE 600
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-1705
Mailing Address - Country:US
Mailing Address - Phone:404-355-0743
Mailing Address - Fax:404-355-2136
Practice Address - Street 1:5505 PEACHTREE DUNWOODY RD
Practice Address - Street 2:SUITE 600
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-1705
Practice Address - Country:US
Practice Address - Phone:404-355-0743
Practice Address - Fax:404-355-2136
Is Sole Proprietor?:No
Enumeration Date:2007-07-17
Last Update Date:2013-08-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXP1974207XX0004X, 207XS0114X, 207XX0801X, 207X00000X
GA69558207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XX0004XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryFoot and Ankle Surgery
No207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery
No207XX0801XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Trauma
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB160134Medicare PIN
TXTXB160135Medicare PIN