Provider Demographics
NPI:1861480543
Name:CHUNG, GINA GEE-HEE (MD)
Entity Type:Individual
Prefix:DR
First Name:GINA
Middle Name:GEE-HEE
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 1:5885 HARRISON AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45248-1691
Mailing Address - Country:US
Mailing Address - Phone:513-588-5655
Mailing Address - Fax:513-588-5651
Practice Address - Street 1:5885 HARRISON AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45248
Practice Address - Country:US
Practice Address - Phone:513-588-5655
Practice Address - Fax:513-588-5651
Is Sole Proprietor?:No
Enumeration Date:2005-10-07
Last Update Date:2021-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT036199207RX0202X
IN01084812A207RX0202X
OH35.134107207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT001361998Medicaid
CT001361998Medicaid
G84091Medicare UPIN