Individual
DR. CATHERINE S. CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11123 PARKVIEW PLAZA DR STE 101, FORT WAYNE, IN 46845-1707
(260) 425-6650
(260) 425-6649
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
01058844A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000381395
ANTHEM PIN
IN
01
—
2230045
FIRST HEALTH/COVENTRY PIN
IN
Enumeration date
06/17/2006
Last updated
03/06/2023
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