Chung, Chan K
Chung, Chan K is an individual health care provider with primary practice located at 7600 Carroll Ave C/O Washington Adventist Hospital, Takoma Park MD 20912-6367. He recently has only one registered license in Allopathic & Osteopathic Physicians / Therapeutic Radiology, which is considered as his primary health care specialty. Chung, Chan K can be contacted via phone (301) 891-5100.Contact Information
Primary practice address
7600 Carroll Ave C/O Washington Adventist Hospital
Takoma Park MD 20912-6367
Phone: (301) 891-5100
Fax: (301) 891-5423
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Therapeutic Radiology | 2085R0203X | D27870 | Maryland |
Profile Details
| NPI number | 1669455317 |
|---|---|
| LBN Legal business name | Chung, Chan K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 28th, 2005 |
| Last updated | Nov 20th, 2012 - about 14 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 | 1669455317 | NPPES |
| Maryland | Other | 39968901 | CAREFIRST OF MD |
| Maryland | Other | 920001089 | CAREFIRST OF MD |
| Maryland | Other | 65670001 | CAREFIRST OF MD |
| Maryland | MEDICAID | 258821800 | CAREFIRST OF MD |
| Maryland | MEDICAID | 023414900 | CAREFIRST OF MD |
| Maryland | Other | 65670001 | CAREFIRST OF MD |
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