Mansuk Chae MD PC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

4301032356 Issued in MI

Legal business name

MANSUK CHAE MD PC

Practice address

7445 Allen Rd
Suite 180
Allen Park, MI 48101-1963

Phone

(313) 383-4833

NPI assigned

Jun 22, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mansuk Chae, M.D.NPI 1477528743

Title

Managing Agent/Owner

Phone

(313) 383-4833

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mansuk Chae, MD

  • Obstetrics & Gynecology Physician
  • Allen Park, MI
  • NPI 1477528743
  NPD (past) Authorized official

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881630341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7445 ALLEN RD",
            "address_2": "SUITE 180",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481011963",
            "telephone_number": "313-383-4833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7445 ALLEN RD",
            "address_2": "SUITE 180",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481011963",
            "telephone_number": "313-383-4833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANSUK CHAE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHAE",
        "authorized_official_first_name": "MANSUK",
        "authorized_official_title_or_position": "MANAGING AGENT/OWNER",
        "authorized_official_telephone_number": "313-383-4833",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301032356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Madurski
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• Hussein Mansour
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• Ronald James Marshall, RPH
• Lauryn Madison Martinez
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• Obstetrics & Gynecology Physician in Allen Park, MI
• Providers in Allen Park, MI by specialty
• Obstetrics & Gynecology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.