Chun, Dal
Chun, Dal is an individual health care provider with primary practice located at 8219 Leesburg Pike #120, Vienna VA 22182-2625. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is his primary health care specialty. Chun, Dal can be contacted via phone (703) 564-4300.Contact Information
Primary practice address
8219 Leesburg Pike #120
Vienna VA 22182-2625
Phone: (703) 564-4300
Fax: (703) 206-7238
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 220610 | Massachusetts |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | D73940 | Maryland |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 0101232470 | Virginia |
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | D73940 | Maryland |
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | 0101232470 | Virginia |
Profile Details
| NPI number | 1578587135 |
|---|---|
| LBN Legal business name | Chun, Dal |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2006 |
| Last updated | Apr 9th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578587135 | NPPES |
| Maryland | MEDICAID | 334430400 | |
| Maryland | MEDICAID | 041273800 | |
| Maryland | MEDICAID | 1578587135 |
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