Individual
DR. MICHAEL SUNG CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2826 OLD LEE HWY, SUITE 200, FAIRFAX, VA 22031-4323
(703) 206-0026
(703) 206-0029
Mailing address
2826 OLD LEE HWY, SUITE 200, FAIRFAX, VA 22031-4323
(703) 206-0026
(703) 206-0029
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
0101055898
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
495211100
—
MD
05
—
6802117
—
VA
Enumeration date
07/05/2006
Last updated
07/31/2015
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