Provider Demographics
NPI:1841298957
Name:CHU, KYO UNG (MD)
Entity type:Individual
Prefix:DR
First Name:KYO
Middle Name:UNG
Last Name:CHU
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 1:2025 TECHNOLOGY PKWY STE 201
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17050-9401
Mailing Address - Country:US
Mailing Address - Phone:717-988-8451
Mailing Address - Fax:717-221-5226
Practice Address - Street 1:2025 TECHNOLOGY PKWY STE 201
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17050-9401
Practice Address - Country:US
Practice Address - Phone:717-988-8451
Practice Address - Fax:717-221-5226
Is Sole Proprietor?:No
Enumeration Date:2005-07-12
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD427905208600000X, 2086X0206X
MDD00613892086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD460000200Medicaid
659LMedicare ID - Type Unspecified
MD460000200Medicaid