Basic Information
Provider Information
NPI: 1588910855
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LIN
FirstName: CHARLES CHENG HUEI
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.C.M.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2225 FRANKLIN AVE E
Address2: APT. H
City: SEATTLE
State: WA
PostalCode: 981023441
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: UNIVERSITY OF WASHINGTON
Address2: 1959 NE PACIFIC ST
City: SEATTLE
State: WA
PostalCode: 981950001
CountryCode: US
TelephoneNumber: 2066851397
FaxNumber: 2066859394
Other Information
ProviderEnumerationDate: 07/24/2012
LastUpdateDate: 07/24/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0001X60285503WAY Allopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology

No ID Information.


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