Provider Demographics
NPI:1558575480
Name:CHUNG, ARNOLD DANIEL (MD)
Entity Type:Individual
Prefix:DR
First Name:ARNOLD
Middle Name:DANIEL
Last Name:CHUNG
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 1:40 COLLEGE ST
Mailing Address - Street 2:#316
Mailing Address - City:BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05401-4473
Mailing Address - Country:US
Mailing Address - Phone:802-598-5733
Mailing Address - Fax:
Practice Address - Street 1:3150 N TENAYA WAY STE 260
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-0459
Practice Address - Country:US
Practice Address - Phone:702-962-5920
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VTBF43000PA208600000X
NV14527208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery