Individual
DR. CHAN K CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7600 CARROLL AVE, C/O WASHINGTON ADVENTIST HOSPITAL, TAKOMA PARK, MD 20912-6367
(301) 891-5100
(301) 891-5423
Mailing address
PO BOX 1400, FAIRFAX, VA 22038-1400
(703) 383-9543
(703) 383-9532
Taxonomy
Speciality
Code
Description
License number
State
2085R0203X
Therapeutic Radiology Physician
Primary
D27870
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023414900
—
DC
05
—
258821800
—
MD
01
—
39968901
CAREFIRST OF MD
MD
01
—
65670001
CAREFIRST OF DC
DC
01
—
920001089
RR MEDICARE
—
Enumeration date
11/28/2005
Last updated
11/20/2012
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