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Physician Compare National (NPI:1366691958)

HEALTHCARE PROVIDER: DAVID S. KUNG M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1366691958
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 2163419631
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20040427001055
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name KUNG
Individual professional last name
Provider First Name DAVID
Individual professional first name
Provider Middle Name S
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.
Provider Credential Text MD
The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information

Medical School Name HARVARD MEDICAL SCHOOL
Individual professional's medical school
Graduation Year 1992
Individual professional's medical school graduation year
Primary Specialty PLASTIC AND RECONSTRUCTIVE SURGERY
Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1 MAXILLOFACIAL SURGERY
First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties MAXILLOFACIAL SURGERY
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Line 1 Street Address 5454 WISCONSIN AVE
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 635
Group Practice or individual's line 2 address
City CHEVY CHASE
Group Practice or individual's city
State MD
Group Practice or individual's state
Zip Code 208156900
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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