Provider Demographics
NPI:1801853718
Name:CHING, HENRY T (MD)
Entity Type:Individual
Prefix:
First Name:HENRY
Middle Name:T
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 1:25 PENNCRAFT AVE
Mailing Address - Street 2:SUITE E
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-5600
Mailing Address - Country:US
Mailing Address - Phone:717-263-1383
Mailing Address - Fax:717-263-7434
Practice Address - Street 1:25 PENNCRAFT AVE
Practice Address - Street 2:SUITE E
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-5600
Practice Address - Country:US
Practice Address - Phone:717-263-1383
Practice Address - Fax:717-263-7434
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2017-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD056475L2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01357799Medicaid
PA02039901OtherCAPITAL BLUE CROSS
MD774101401Medicaid
PA0015374230002Medicaid
PACH685878OtherHIGHMARK BLUE SHIELD
MD774101401Medicaid
NY01357799Medicaid