Provider Demographics
NPI:1700867009
Name:CHONG, EVA-MARIE BEE CHUN (MD)
Entity Type:Individual
Prefix:DR
First Name:EVA-MARIE
Middle Name:BEE CHUN
Last Name:CHONG
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:21001 N TATUM BLVD
Mailing Address - Street 2:STE 1630-609
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85050-4206
Mailing Address - Country:US
Mailing Address - Phone:480-237-3799
Mailing Address - Fax:480-436-6760
Practice Address - Street 1:10250 N 92ND ST
Practice Address - Street 2:STE 105
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-4510
Practice Address - Country:US
Practice Address - Phone:480-237-3799
Practice Address - Fax:480-436-6760
Is Sole Proprietor?:No
Enumeration Date:2005-11-14
Last Update Date:2014-11-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ35603207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZI14872Medicare UPIN
AZP00344852Medicare PIN
AZZ110063Medicare PIN
AZZ110062Medicare PIN