Chung, Philip R

Chung, Philip R is an individual health care provider with primary practice located at 7300 Heritage Village Plz Suite 101, Gainesville VA 20155-3079. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Chung, Philip R can be contacted via phone (703) 753-4733.

Contact Information

Primary practice address
7300 Heritage Village Plz Suite 101 Gainesville VA 20155-3079
Phone: (703) 753-4733
Fax: (703) 753-2183
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X L7335 Texas
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 0101239485 Virginia

Profile Details

NPI number 1902809684
LBN Legal business name Chung, Philip R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Oct 15th, 2013 - about 12 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 1902809684 NPPES
Texas MEDICAID 1675183-01

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