Qiao Angela Chu, BHSC., M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

103979 Issued in ZZ

Practice address

110 W Squantum St
North Quincy, MA 02171-2122

Phone

(617) 376-3000

Fax

(617) 774-1905

NPI assigned

Mar 21, 2017

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1700317930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W SQUANTUM ST",
            "city": "NORTH QUINCY",
            "state": "MA",
            "postal_code": "021712122",
            "telephone_number": "617-376-3000",
            "fax_number": "617-774-1905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W SQUANTUM ST",
            "city": "NORTH QUINCY",
            "state": "MA",
            "postal_code": "021712122",
            "telephone_number": "617-376-3000",
            "fax_number": "617-774-1905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "285 Third St",
            "address_2": "Unit 230",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "MA",
            "postal_code": "021421115",
            "country_code": "US",
            "telephone_number": "905-334-9486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHU",
        "first_name": "QIAO",
        "middle_name": "ANGELA",
        "name_prefix": "Dr.",
        "credential": "BHSC., M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-21",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ZZ",
            "license": "103979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vandana Bijoor, M.D
• Cheryl Ann Bliss, NP
• Boston Medical Center Corporation (BMC Pharmacy at Manet)
• Vikram RJ Butani
• Kiley Callahan, FNP-C
• Nancy Chung, MSN, FNP-BC
• Mary Ann Dakkak, M.D.
• Alyna M Dale, PA-C
• Krishna Dewashrayee, RN
• Yiming Ding, M.D.

• Family Medicine Physician in North Quincy, MA
• Providers in North Quincy, MA by specialty
• Family Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.