Active NPIIndividual provider

Dr. Chan Yeu Pu, MD

Internal Medicine, Pulmonary Disease in Pawtucket, Rhode Island

NPI Number1558761890
Practice location
111 Brewster St, Pawtucket, RI 02860-4400
Fax
401-729-2157
Last updated
September 11, 2026

Chan Yeu Pu is an Internal Medicine, Pulmonary Disease based in Pawtucket, RI. Chan Yeu Pu practices in Pawtucket, RI and has the professional credentials of MD. The NPI Number for Chan Yeu Pu is 1558761890 and holds a License No. 290558 (MA). The current practice location address for Chan Yeu Pu is 111 Brewster St, Pawtucket, RI 02860-4400 and can be reached out via phone at 401-729-2635 and via fax at 401-729-2157.

Provider Profile Details

NPI Number
1558761890
Provider Name
Chan Yeu Pu
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
111 Brewster St, Pawtucket, RI 02860-4400
Phone Number
401-729-2635
Fax Number
401-729-2157
Primary Taxonomy
Internal Medicine, Pulmonary Disease · 207RP1001X
Sole Proprietor
No
Provider Enumeration Date
August 22, 2014
Last Update Date
September 11, 2026
Certification Date
September 11, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
111 Brewster St
Pawtucket, RI 02860-4400
Zip
02860-4400
Phone Number
401-729-2635
Fax Number
401-729-2157
Pawtucket, RI 02860Get directions →

Provider Business Mailing Address Details

Address
455 Toll Gate RD
Prc And Credentialing
Warwick, RI 02886
City
Warwick
State
RI
Zip
02886
Phone Number
401-273-0641
Fax Number
401-273-2919

License Information

License Number (1)
290558
License State (1)
MA
License Number (2)
MD21530
License State (2)
RI
Taxonomy (2)
Internal Medicine, Pulmonary Disease · 207RP1001X · Primary
License Number (3)
290558
License State (3)
MA
Taxonomy (3)
Internal Medicine, Pulmonary Disease · 207RP1001X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Chan Yeu Pu, MD?

The NPI number of Dr. Chan Yeu Pu, MD is 1558761890. It was assigned on August 22, 2014 and is currently active in the NPPES registry.

What is the specialty of Dr. Chan Yeu Pu, MD?

Dr. Chan Yeu Pu, MD is registered under the primary taxonomy Internal Medicine, Pulmonary Disease (code 207RP1001X), licensed in MA under license number 290558.

Where does Dr. Chan Yeu Pu, MD practice?

The practice location is 111 Brewster St, Pawtucket, RI 02860-4400. The office can be reached at 401-729-2635 (phone) or 401-729-2157 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1558761890 directly on the NPPES registry website.

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