Chung, Sandy L.

Chung, Sandy L. is an individual health care provider with primary practice located at 3650 Joseph Siewick Dr Ste 101, Fairfax VA 22033-1700. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Chung, Sandy L. can be contacted via phone (703) 391-0900.

Contact Information

Primary practice address
3650 Joseph Siewick Dr Ste 101 Fairfax VA 22033-1700
Phone: (703) 391-0900
Fax: (703) 391-2919
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101058216 Virginia

Profile Details

NPI number 1073516803
LBN Legal business name Chung, Sandy L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Oct 26th, 2010 - about 15 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 1073516803 NPPES
Virginia MEDICAID 6715338

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