Provider Demographics
NPI:1508351719
Name:CHING, TSUNG HAN SCOTTIE (MD)
Entity Type:Individual
Prefix:
First Name:TSUNG HAN
Middle Name:SCOTTIE
Last Name:CHING
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:QUEENS HOSPITAL CENTER DEPARTMENT OF MEDICINE
Mailing Address - Street 2:82-68 164TH STREET
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11432
Mailing Address - Country:US
Mailing Address - Phone:718-883-4847
Mailing Address - Fax:
Practice Address - Street 1:1278 E LATHAM AVE
Practice Address - Street 2:
Practice Address - City:HEMET
Practice Address - State:CA
Practice Address - Zip Code:92543-4445
Practice Address - Country:US
Practice Address - Phone:951-925-6625
Practice Address - Fax:888-702-6846
Is Sole Proprietor?:No
Enumeration Date:2018-06-29
Last Update Date:2022-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CAA174407207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program