Provider Demographics
NPI:1457370017
Name:NG, CHUN YEE (MD)
Entity Type:Individual
Prefix:
First Name:CHUN
Middle Name:YEE
Last Name:NG
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 1:1880 PERRY BLVD NW
Mailing Address - Street 2:PATIENT ACCOUNTS OFFICER
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30318-4008
Mailing Address - Country:US
Mailing Address - Phone:678-523-1158
Mailing Address - Fax:
Practice Address - Street 1:1880 PERRY BLVD NW
Practice Address - Street 2:PATIENT ACCOUNTS OFFICER
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30318-4008
Practice Address - Country:US
Practice Address - Phone:678-523-1158
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2013-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0416312084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
H31489Medicare UPIN
26BDHHZMedicare ID - Type Unspecified