Individual
DR. NEIL C CHUNGFAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
280 EXEMPLA CIR, LAFAYETTE, CO 80026-3370
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
2014-01495
NC
207W00000X
Ophthalmology Physician
A124594
CA
207W00000X
Ophthalmology Physician
Primary
DR0059142
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
028672
KAISER COMMERCIAL NUMBER
CO
Enumeration date
07/15/2009
Last updated
06/17/2021
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