Provider Demographics
NPI:1710170246
Name:CHUNG, ANNE KAY (MD)
Entity Type:Individual
Prefix:DR
First Name:ANNE
Middle Name:KAY
Last Name:CHUNG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7332 E BUTHERUS DR STE 104
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-2426
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7332 E BUTHERUS DR STE 104
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-2426
Practice Address - Country:US
Practice Address - Phone:602-617-6108
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-17
Last Update Date:2017-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA247237207P00000X
CA140642207P00000X
FLME127124207P00000X
GA075985207P00000X
KS04-39551207P00000X
IL036-139968207P00000X
MDD0081191207P00000X
NY282938207P00000X
NC2016-00452207P00000X
OH35.128484207P00000X
PAMD457798207P00000X
WI66880-20207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine