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Individual
DR. CHAN K CHUNG
Active
Individual
DR. CHAN K CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0203X
Therapeutic Radiology Physician
Primary
D27870
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023414900
—
DC
05
—
258821800
—
MD
01
—
39968901
CAREFIRST OF MD
MD
01
—
65670001
CAREFIRST OF DC
DC
01
—
920001089
RR MEDICARE
—
Enumeration date
11/28/2005
Last updated
11/20/2012
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