Provider Demographics
NPI:1285652198
Name:CHUN, ELBERT B (MD)
Entity Type:Individual
Prefix:
First Name:ELBERT
Middle Name:B
Last Name:CHUN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1364 CLIFTON RD NE
Mailing Address - Street 2:EMORY UNIVERSITY HOSPTIAL - HOSPITAL MEDICINE
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30322-1059
Mailing Address - Country:US
Mailing Address - Phone:404-778-5334
Mailing Address - Fax:404-778-5334
Practice Address - Street 1:1364 CLIFTON RD NE
Practice Address - Street 2:EMORY UNIVERSITY HOSPTIAL - HOSPITAL MEDICINE
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30322-1059
Practice Address - Country:US
Practice Address - Phone:404-778-5334
Practice Address - Fax:404-778-5334
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2015-10-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA53120208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAH88336Medicare UPIN