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General NPI Number Information
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NPI Number | 1710127253
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Entity Type | Individual
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Provider Name | CATHERINE G. CHUNG MD
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Gender | Female
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Dates
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Enumeration Date | 02/24/2009
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Last Update Date | 07/09/2024
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Provider Practice Location Address
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Address Line | 901 WOODY HAYES DR STE 2030
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City | COLUMBUS
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State | OH
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Zip | 43210-4013
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Country | US
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Telephone | 614-293-4144
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Fax | 614-293-7634
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Provider Business Mailing Address
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Address Line | 700 ACKERMAN RD STE 2120
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City | COLUMBUS
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State | OH
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Zip | 43202-1559
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Country | US
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Telephone | 614-293-4144
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Fax | 614-293-7634
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 35.131912
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207ND0900X
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Taxonomy Name | Dermatopathology Physician
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License Number | 35.131912
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License Number State | OH
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