Ted Chung, M.D.

Urology Physician · Destin, FL

Individual Active NPI

NPI number 1639148166

Practice location

4012 Commons Dr W
Suite 100
Destin, FL 32541-8422
Phone
(850) 837-0442
Fax
(850) 837-1051

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NPI record

NPI
1639148166
Entity type
Individual (Type 1)
Enumeration date
March 16, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Urology Physician Primary 208800000X ME0072919 FL

Mailing address

PO Box 936
Shalimar, FL 32579-0936
Phone
(850) 837-0442
Fax
(850) 837-1051

About Dr. Chung

Ted Chung, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Urology Physician (code 208800000X). The practice location is 4012 Commons Dr W, Suite 100, Destin, FL 32541-8422. The NPI number 1639148166 was assigned on March 16, 2006 and the record was last updated on July 8, 2007.

Dr. Chung lists a license in the registry: #ME0072919 (FL) for Urology Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ted Chung, M.D.?

The NPI number is 1639148166.

What is the phone number of Dr. Chung?

The phone number listed for the practice location is (850) 837-0442.

Where is Dr. Chung located?

4012 Commons Dr W, Suite 100, Destin, FL 32541-8422.

What is the taxonomy code for Dr. Chung?

The primary taxonomy code is 208800000X – Urology Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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