NPI 1386680353 · live from the CMS NPI Registry
Bok Chung, MD
Psychiatry & Neurology, Psychiatry in St Louis Park, MN. National Provider Identifier 1386680353, active.
NPI record
| NPI | 1386680353 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Psychiatry 2084P0800X |
| Practice location | 3800 Park Nicollet Blvd, St Louis Park, MN 55416 |
| Practice phone | 952-993-3123 |
| Mailing address | 8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425 |
| Enumerated | June 20, 2006 |
| Last updated | July 2, 2021 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Psychiatry | 2084P0800X | M8442 (ID) |
| Psychiatry & Neurology, Psychiatry | 2084P0800X | 27154 (NE) |
| Psychiatry & Neurology, Psychiatry primary | 2084P0800X | 63134 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.