Individual
ANDREW K CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8525 ROLLING RD STE 220, MANASSAS, VA 20110-3648
(703) 393-0700
Mailing address
8525 ROLLING RD STE 220, MANASSAS, VA 20110-3648
(703) 393-0700
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0101236182
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427151612
—
VA
01
—
306085
ANTHEM BC/BS
VA
Enumeration date
09/06/2006
Last updated
01/25/2019
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