Healthcare Provider Details

I. General information

NPI: 1396733473
Provider Name (Legal Business Name): YUNG-HAO HOWARD PUNG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/12/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11119 ROCKVILLE PIKE SUITE 406
ROCKVILLE MD
20852-3143
US

IV. Provider business mailing address

11119 ROCKVILLE PIKE SUITE 406
ROCKVILLE MD
20852-3143
US

V. Phone/Fax

Practice location:
  • Phone: 301-770-7756
  • Fax: 301-770-5870
Mailing address:
  • Phone: 301-770-7756
  • Fax: 301-770-5870

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License NumberD0042449
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code2080P0201X
TaxonomyPediatric Allergy/Immunology Physician
License NumberD0042449
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: