Individual
CHUNG KI HA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15615 35TH AVE, FLUSHING, NY 11354-5015
(718) 463-6134
(718) 463-6275
Mailing address
15615 35TH AVE, FLUSHING, NY 11354-5015
(718) 463-6134
(718) 463-6275
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
190445
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01727724
—
NY
Enumeration date
12/11/2006
Last updated
07/08/2007
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