Healthcare Provider Details

I. General information

NPI: 1003165929
Provider Name (Legal Business Name): LING CHIN MD, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/06/2012
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9298 GAITHER RD
GAITHERSBURG MD
20877-1420
US

IV. Provider business mailing address

12820 CIRCLE DR
ROCKVILLE MD
20850-3715
US

V. Phone/Fax

Practice location:
  • Phone: 240-393-5950
  • Fax: 240-668-9828
Mailing address:
  • Phone: 240-393-5950
  • Fax: 240-668-9828

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License NumberD0036121
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: