Provider Demographics
NPI:1356469522
Name:UNG, CHHEANY WALTER (MD)
Entity Type:Individual
Prefix:DR
First Name:CHHEANY
Middle Name:WALTER
Last Name:UNG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3405 OGDEN RD
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24018-8200
Mailing Address - Country:US
Mailing Address - Phone:540-777-0090
Mailing Address - Fax:540-206-3826
Practice Address - Street 1:3405 OGDEN RD
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24018-8200
Practice Address - Country:US
Practice Address - Phone:540-777-0090
Practice Address - Fax:540-206-3826
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD428672207LP2900X
VA0101242119207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine