Individual
RICHARD TAM CHUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 NW VESPER ST, BLUE SPRINGS, MO 64014-2744
(816) 229-9411
(816) 229-9411
Mailing address
PO BOX 246, BLUE SPRINGS, MO 64013-0246
(816) 229-9411
(816) 229-9411
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34226
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02067022
BCBS KC
—
01
—
025461
BCBS KS
—
01
—
111077615
MEDICARE RAILROAD
—
05
—
200179109
—
MO
Enumeration date
12/22/2006
Last updated
02/23/2010
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