Provider Demographics
NPI:1912130469
Name:CHUNG, ELANE HYUN (MD)
Entity Type:Individual
Prefix:DR
First Name:ELANE
Middle Name:HYUN
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:POB 980257 1200 E. BROAD ST
Mailing Address - Street 2:DEPT OF GRADUATE MEDICAL EDUCATION - WEST HOSPITAL, W6S
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23298-0257
Mailing Address - Country:US
Mailing Address - Phone:804-828-9783
Mailing Address - Fax:804-828-5613
Practice Address - Street 1:400 EAST JACKSON ST
Practice Address - Street 2:DEPT LEGAL MEDICINE (PATHOLOGY)
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23219
Practice Address - Country:US
Practice Address - Phone:804-786-3176
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-01
Last Update Date:2015-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program