| Joseph Chi Md Pa | |
|
1210 Nw 95th St Miami FL 33147-3318 | |
| (305) 691-1820 | |
| (305) 694-8450 |
| Full Name | Joseph Chi Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1210 Nw 95th St, Miami, Florida |
| Authorized Official Name and Position | Joseph Isaac Chi (PRESIDENT) |
| Authorized Official Contact | 3056911820 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph Chi Md Pa 1210 Nw 95th St Miami FL 33147-3318 Ph: (305) 691-1820 | Joseph Chi Md Pa 1210 Nw 95th St Miami FL 33147-3318 Ph: (305) 691-1820 |
| NPI Number | 1831490457 |
|---|---|
| Provider Enumeration Date | 11/12/2010 |
| Last Update Date | 11/12/2010 |
| Medicare PECOS PAC ID | 0042483612 |
|---|---|
| Medicare Enrollment ID | O20111026000380 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831490457 | NPI | - | NPPES |
| 0638714 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME57219 (Florida) | Primary |
| Provider Name | Joseph Isaac Chi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760493464 PECOS PAC ID: 2466625033 Enrollment ID: I20111026000436 |
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