Healthcare Provider Details

I. General information

NPI: 1861480543
Provider Name (Legal Business Name): GINA GEE-HEE CHUNG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/07/2005
Last Update Date: 11/20/2024
Certification Date: 11/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5885 HARRISON AVE
CINCINNATI OH
45248
US

IV. Provider business mailing address

5885 HARRISON AVE
CINCINNATI OH
45248-1691
US

V. Phone/Fax

Practice location:
  • Phone: 513-588-5655
  • Fax: 513-588-5651
Mailing address:
  • Phone: 513-588-5655
  • Fax: 513-588-5651

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number036199
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number51860
License Number StateKY
# 3
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number35.134107
License Number StateOH
# 4
Primary TaxonomyN
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number01084812A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: