Healthcare Provider Details

I. General information

NPI: 1902509706
Provider Name (Legal Business Name): LINH CHUNG DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2023
Last Update Date: 05/16/2026
Certification Date: 05/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

171 KEMPSVILLE RD BLDG B
NORFOLK VA
23502-4732
US

IV. Provider business mailing address

1631 SONGBIRD LN
CHESAPEAKE VA
23323-2943
US

V. Phone/Fax

Practice location:
  • Phone: 757-668-6500
  • Fax: 757-668-6505
Mailing address:
  • Phone: 303-960-4513
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number0102210064
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: