Chung, Michael Taehoon

Chung, Michael Taehoon is an individual health care provider with primary practice located at 5253 Providence Rd Ste 100 , Virginia Beach VA 23464-4201. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Chung, Michael Taehoon can be contacted via phone (757) 252-4640.

Contact Information

Primary practice address
5253 Providence Rd Ste 100 Virginia Beach VA 23464-4201
Phone: (757) 252-4640
Fax: (757) 510-9343
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 0103300727 Virginia

Profile Details

NPI number 1164416681
LBN Legal business name Chung, Michael Taehoon
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2005
Last updated May 6th, 2024 - about 7 months 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1164416681 NPPES
Virginia MEDICAID 9304894

Popular Providers