Provider Demographics
NPI:1467540401
Name:HYUN, CHUL S (MD)
Entity Type:Individual
Prefix:
First Name:CHUL
Middle Name:S
Last Name:HYUN
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 1:38 W 32ND STREET
Mailing Address - Street 2:SUITE 1300
Mailing Address - City:NY
Mailing Address - State:NY
Mailing Address - Zip Code:10001
Mailing Address - Country:US
Mailing Address - Phone:212-736-2112
Mailing Address - Fax:212-736-2004
Practice Address - Street 1:38 W 32ND STREET
Practice Address - Street 2:#1300
Practice Address - City:NY
Practice Address - State:NY
Practice Address - Zip Code:10001
Practice Address - Country:US
Practice Address - Phone:212-736-2112
Practice Address - Fax:212-736-2004
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY189708207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY75K531Medicare ID - Type Unspecified
E17528Medicare UPIN