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Individual

DR. EDWARD YONGHOON CHOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9276 DONATELLO DR, DUBLIN, OH 43016-6111
(614) 210-1885
Mailing address
DEPT L-467, COLUMBUS, OH 43260-0001
(866) 287-0568

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
MD425891
PA
2085R0202X
Diagnostic Radiology Physician
Primary
35088118
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2565979
OH
01
P00330674
RAILROAD MEDICARE
Enumeration date
02/06/2006
Last updated
07/24/2007
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