Chung, Thomas S.

Chung, Thomas S. is an individual health care provider with primary practice located at 915 N Grand Blvd , Saint Louis MO 63106-1621. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Chung, Thomas S. can be contacted via phone (314) 289-6324.

Contact Information

Primary practice address
915 N Grand Blvd Saint Louis MO 63106-1621
Phone: (314) 289-6324
Fax: (314) 289-6322
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 036-104163 Illinois
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X A78262 California
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 01067637A Indiana
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 2013012262 Missouri

Profile Details

NPI number 1962473751
LBN Legal business name Chung, Thomas S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Mar 11th, 2024 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962473751 NPPES
Indiana MEDICAID 200969650
Indiana MEDICAID 3008471

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