Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 35078012 | OH |
N | 207RC0000X | Internist - Cardiovascular Disease | 35078012 | OH |
NPI | 1003893926 |
---|---|
Provider Name | Eugene Chung |
First Address | Cincinnati, OH 45219-2610 |
Second Address | Cincinnati, OH 45219-2906 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/12/2005 |
Last Update Date | 24/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000077109 | ANTHEM (01) | OH |
060059827 | RAILROAD (01) | |
200329880 | (05) | IN |
2226960 | (05) | OH |
2330805 | AETNA (01) | OH |
25-00402 | UNITED (01) | OH |
283775 | AMERIGROUP OH MEDICAID (01) | |
283775 | CARESOURE MEDICAID OH (01) | |
28444429001 | MEDICAL MUTUAL (01) | OH |
64031149 | (05) | KY |
78012-01 | HUMANA (01) | |
F81524 | (02) |