Provider Demographics
NPI:1497708937
Name:CHUNG, HYUNG DOO (MD)
Entity Type:Individual
Prefix:DR
First Name:HYUNG
Middle Name:DOO
Last Name:CHUNG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:915 N GRAND BLVD
Mailing Address - Street 2:PATHOLOGY AND LABORATORY SERVICE, VAMC
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63106-1621
Mailing Address - Country:US
Mailing Address - Phone:314-652-4100
Mailing Address - Fax:314-289-7073
Practice Address - Street 1:915 N GRAND BLVD
Practice Address - Street 2:PATHOLOGY AND LABORATORY SERVICE, VAMC
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63106-1621
Practice Address - Country:US
Practice Address - Phone:314-652-4100
Practice Address - Fax:314-289-7073
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-18
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MOR7089207ZN0500X, 207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology
No207ZN0500XAllopathic & Osteopathic PhysiciansPathologyNeuropathology