MEDICARE: ELVIS CHEO MUNJONG

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide	HHA12580	DC

General Provider Information

NPI Number	:	1255875837
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELVIS CHEO MUNJONG

Provider Business Mailing Address
First Line	:	6809 JADE CT
Second Line	:
City	:	CAPITOL HEIGHTS
State	:	MD
Zip	:	20743-1862
Country	:	US
Telephone Number	:	240-506-0499
Fax Number	:

Provider Business Practice Location Address
First Line	:	6809 JADE CT
Second Line	:
City	:	CAPITOL HEIGHTS
State	:	MD
Zip	:	20743-1862
Country	:	US
Telephone Number	:	240-506-0499
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/15/2016
Last Update Date	:	11/20/2018

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Directions to “ ELVIS CHEO MUNJONG ” Practice Location

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