Healthcare Provider Details

I. General information

NPI: 1952042111
Provider Name (Legal Business Name): BYRON DONG JU CHEON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2022
Last Update Date: 06/28/2026
Certification Date: 06/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 E LEIGH ST FL 13
RICHMOND VA
23298-5004
US

IV. Provider business mailing address

PO BOX 980257 VCUHS GME ADMINISTRATION
RICHMOND VA
23298-0257
US

V. Phone/Fax

Practice location:
  • Phone: 804-828-9350
  • Fax: 804-827-1744
Mailing address:
  • Phone: 804-828-9783
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number0101289070
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: