Basic Information
| Provider Information | |||||||||
| NPI: | 1780028530 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CHUA | ||||||||
| FirstName: | WINNIE | ||||||||
| MiddleName: | TSAO | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8170 33RD AVE S # MS 21110Q | ||||||||
| Address2: | |||||||||
| City: | BLOOMINGTON | ||||||||
| State: | MN | ||||||||
| PostalCode: | 554254516 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 640 JACKSON ST | ||||||||
| Address2: | |||||||||
| City: | SAINT PAUL | ||||||||
| State: | MN | ||||||||
| PostalCode: | 551012502 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9529677977 | ||||||||
| FaxNumber: | 6512549673 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/23/2013 | ||||||||
| LastUpdateDate: | 07/28/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/28/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 63506 | MN | N | Allopathic & Osteopathic Physicians | Family Medicine | 207R00000X | 63506 | MN | N | Allopathic & Osteopathic Physicians | Internal Medicine | 208M00000X | 15364 | ND | N | Allopathic & Osteopathic Physicians | Hospitalist | 207Q00000X | 277853 | NY | N | Allopathic & Osteopathic Physicians | Family Medicine | 208M00000X | 64087 | CT | N | Allopathic & Osteopathic Physicians | Hospitalist | 208M00000X | 66102-20 | WI | N | Allopathic & Osteopathic Physicians | Hospitalist | 208M00000X | 277853 | NY | N | Allopathic & Osteopathic Physicians | Hospitalist | 208M00000X | D88155 | MD | N | Allopathic & Osteopathic Physicians | Hospitalist | 208M00000X | 63506 | MN | Y | Allopathic & Osteopathic Physicians | Hospitalist |
No ID Information.