Provider Demographics
NPI:1952415028
Name:HUANG, CHONA C (MD)
Entity Type:Individual
Prefix:
First Name:CHONA
Middle Name:C
Last Name:HUANG
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 1:320 COOSA ST E
Mailing Address - Street 2:
Mailing Address - City:TALLADEGA
Mailing Address - State:AL
Mailing Address - Zip Code:35160-2276
Mailing Address - Country:US
Mailing Address - Phone:256-362-3636
Mailing Address - Fax:
Practice Address - Street 1:320 COOSA ST E
Practice Address - Street 2:
Practice Address - City:TALLADEGA
Practice Address - State:AL
Practice Address - Zip Code:35160-2276
Practice Address - Country:US
Practice Address - Phone:256-362-3636
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2015-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL24836207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009907425Medicaid
AL009907425Medicaid
H71686Medicare UPIN