Provider Demographics
NPI:1275005662
Name:CHOUNG, HYO SHIK
Entity Type:Individual
Prefix:
First Name:HYO
Middle Name:SHIK
Last Name:CHOUNG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7017 DOLPHIN RD
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-3908
Mailing Address - Country:US
Mailing Address - Phone:703-832-1833
Mailing Address - Fax:
Practice Address - Street 1:10 POST OFFICE RD STE 100
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-1103
Practice Address - Country:US
Practice Address - Phone:703-832-1833
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-22
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU02574171100000X
MDM05571225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist