Individual
MRS. INGRID INSOOK CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4229 LAFAYETTE CENTER DRIVE, SUITE #1790, CHANTILLY, VA 20151-1267
(703) 378-3508
(703) 378-6414
Mailing address
PO BOX 9302, MCLEAN, VA 22102
(703) 378-3508
(703) 378-6414
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101049525
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103012147
CIGNA
—
01
—
3100539
ALLANCE PPO/MAMSI
—
01
—
38080001
BCBS-CAREFIRST
—
01
—
4528765
AETNA
—
01
—
461868
AETNA
—
01
—
463068
BCBS-ANTHEM
—
Enumeration date
08/29/2006
Last updated
03/27/2015
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