NPI 1902809684 · live from the CMS NPI Registry
Philip R Chung, M.D.
Ophthalmology in Gainesville, VA. National Provider Identifier 1902809684, active.
NPI record
| NPI | 1902809684 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 7300 Heritage Village Plz, Suite 101, Gainesville, VA 20155 |
| Practice phone | 703-753-4733 |
| Enumerated | May 24, 2005 |
| Last updated | October 15, 2013 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology | 207W00000X | L7335 (TX) |
| Ophthalmology primary | 207W00000X | 0101239485 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.