DR. CHAN K CHUNG (NPI# 1669455317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669455317 |
Entity Type | Individual |
Full Name | DR. CHAN K CHUNG |
Credential | M.D. |
Practice Address |
7600 Carroll Ave C/o Washington Adventist Hospital Takoma Park MD 20912-6367 |
Mailing Address |
Po Box 1400 Fairfax VA 22038-1400 |
Practice Telephone | 3018915100 |
Practice Fax Number | 3018915423 |
Mailing Telephone | 7033839543 |
Mailing Fax Number | 7033839532 |
Enumeration Date | 2005-11-28 |
Last Update Date | 2012-11-20 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0203X |
Radiology Specialization: Therapeutic Radiology |
D27870 | MD | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MD | CAREFIRST OF MD | 39968901 | 01 |
RR MEDICARE | 920001089 | 01 | |
DC | 023414900 | 05 | |
MD | 258821800 | 05 | |
DC | CAREFIRST OF DC | 65670001 | 01 |
DC | DC CAREFIRST | 65670001 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144469826 | Chan Y Chung | Internal Medicine | 1301 Medical Center Dr, Suite 1660 Tvc, Nashville, TN 37232-5280 | 2009-02-19 |
Street Address |
7600 CARROLL AVE C/O WASHINGTON ADVENTIST HOSPITAL |
City | TAKOMA PARK |
State | MD |
Zip Code | 20912-6367 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144224593 | Alfred Munzer | Internal Medicine | 7600 Carroll Ave, Takoma Park, MD 20912-6367 | 2005-06-13 |
1730712845 | Nelle Hannah Ouellette | Occupational Therapist | 7600 Carroll Ave, Takoma Park, MD 20912-6367 | 2020-02-17 |
1821643396 | Saba T Ucbamichael | Nurse Practitioner | 7600 Carroll Ave, Takoma Park, MD 20912-6367 | 2019-08-01 |
1417509696 | Adventist Healthcare Urgent Care Centers, Inc | Clinic/Center | 7600 Carroll Ave, Takoma Park, MD 20912-6367 | 2019-07-09 |
1497312474 | Qi Hong | Specialist/Technologist, Other | 7600 Carroll Ave, Takoma Park, MD 20912-6367 | 2019-05-24 |
1568928190 | Julie Marie Leonard | Physical Therapist | 7600 Carroll Ave, Takoma Park, MD 20912-6367 | 2019-02-19 |
1760955264 | Gladys Neh Alambi | Nurse Practitioner | 7600 Carroll Ave, Takoma Park, MD 20912-6367 | 2019-01-07 |
1013497700 | Adventist Physician Services, Inc. | Psychiatry & Neurology | 7600 Carroll Ave, Takoma Park, MD 20912 | 2018-08-21 |
1649750332 | Adventist Physician Services, Inc. | Psychiatry & Neurology | 7600 Carroll Ave, Takoma Park, MD 20912-6367 | 2018-08-21 |
1619468949 | Ixchel Victoria Montenegro | Physician Assistant | 7600 Carroll Ave, Takoma Park, MD 20912-6367 | 2018-05-22 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841898426 | Takoma Park Gynecology LLC | Advanced Practice Midwife | 7050 Carroll, Suite 201, Takoma Park, MD 20912 | 2020-10-15 |
1669094470 | Alba Oliver-cephas | Counselor | 7610 Carroll Ave Suite 200, Takoma Park, MD 20912 | 2020-05-14 |
1689173650 | Fate Geleto | Home Health Aide | 6733 Newhampshire Ave#410, Takoma Park, MD 20912 | 2018-02-06 |
1437658549 | Hanna I-hwa Schmittat | Acupuncturist | 7120 Carroll Ave, Takoma Park, MD 20912 | 2018-02-04 |
1467960443 | Elaborate Home Health Care Services | Clinic/Center | 6480 New Hampshire Ave Ste 301b, Takoma Park, MD 20912 | 2018-01-12 |
1093223174 | Walinjom Feh Nanette | Home Health Aide | 664 Fairview Ave, Takoma Park, MD 20912 | 2018-01-11 |
1902312978 | Phucho Philomina | Home Health | 6731 New Hampshire Avenue, 601, Takoma Park, MD 20912 | 2017-12-28 |
1154848075 | Madge Richards Quesenberry | Counselor | 7600 Flower Avenue, Washington Adventist University Counseling Center, Takoma Park, MD 20912 | 2017-08-23 |
1083061386 | Arlette Ankouong | Nurse's Aide | 766 Fairview Ave, Apt 2, Takoma Park, MD 20912 | 2016-05-17 |
1275988487 | Betrand Anyam | Home Health Aide | 777 Maple Avenue, Apt 1101, Takoma Park, MD 20912 | 2016-04-26 |
Find all providers in zip 20912 |
Taxonomy Code | 2085R0203X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Therapeutic Radiology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376812669 | Ding-jen Lee | Radiology | 6168 Wooded Run Dr, Columbia, MD 21044-3800 | 2011-12-15 |
1639635345 | Maegan Lentz | Radiology | 10 N Greene St, Baltimore, MD 21201-1524 | 2019-02-18 |
1821280058 | Dorothy Boo | Radiology | 305 Hospital Dr, Glen Burnie, MD 21061-5805 | 2007-08-12 |
1891759817 | Daniel H Clarke | Radiology | 2121 Medical Park Dr, Suite 4, Silver Spring, MD 20902-4054 | 2006-04-14 |
City | TAKOMA PARK |
Zip Code | 20912 |
Please comment or provide details below to improve the information on DR. CHAN K CHUNG.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.