Provider Demographics
NPI:1295026045
Name:CHUNG, SHARON Y (DO)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:Y
Last Name:CHUNG
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7106-B RIDGE ROAD
Mailing Address - Street 2:DEPARTMENT OF FAMILY MEDICINE
Mailing Address - City:ROSEDALE
Mailing Address - State:MD
Mailing Address - Zip Code:21237
Mailing Address - Country:US
Mailing Address - Phone:410-918-2000
Mailing Address - Fax:844-304-5355
Practice Address - Street 1:7670 QUARTERFIELD RD
Practice Address - Street 2:
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-3947
Practice Address - Country:US
Practice Address - Phone:410-508-7650
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-28
Last Update Date:2021-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDH0078308207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine