Individual
MELISSA GRACE CHUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
555 S 18TH ST, COLUMBUS, OH 43205-2654
(614) 722-2000
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-2000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35.097301
OH
208000000X
Pediatrics Physician
35.097301
OH
2080P0203X
Pediatric Critical Care Medicine Physician
35.097301
OH
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
35.097301
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0098376
—
OH
01
—
H349880
MEDICARE-CGS
OH
Enumeration date
07/30/2008
Last updated
05/14/2026
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