Individual
HENRY H. CHONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1101 JACKSON STREET, STE B, GREENVILLE, OH 45331-1183
(937) 316-6350
(937) 316-6374
Mailing address
1100 REID PKWY, MEDICAL STAFF SERVICES, RICHMOND, IN 47374-1157
(937) 316-6350
(937) 316-6374
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
01070533A
IN
207RC0000X
Cardiovascular Disease Physician
Primary
35-07-0257
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000752990
ANTHEM, REID HOSPITAL
—
05
—
0248333
—
OH
05
—
200100770
—
IN
Enumeration date
06/01/2005
Last updated
05/12/2021
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