Matthew Chung, D.O.
Family Medicine, Sports Medicine in Blacksburg, VA. Individual provider (NPI-1).
NPI number1629457098
StatusActive
Last updated in NPPESJun 9, 2022
Details
- NPI
- 1629457098
- Entity type
- Individual (NPI-1)
- Name
- Matthew Chung
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 19, 2015
- Certification date
- Jun 9, 2022
- Last updated
- Jun 9, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QS0010X | Family Medicine, Sports Medicine | 0102205221 | VA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
1691 Innovation Dr Ste 2100Blacksburg, VA 24060-6618
Phone 540-232-8405
Mailing address
Po Box 8310Roanoke, VA 24014-0310
Phone 540-345-3556 · Fax 540-342-2193
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