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NPI Code Detail

MEDICARE: ESTHER CHUNG MD

MEDICARE: ESTHER CHUNG MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology Physician2025-03673NC

General Provider Information

NPI Number : 1043848864
Entity Type Code : Individual
Provider Name (Legal Business Name) : ESTHER CHUNG MD
Provider Business Mailing Address
First Line : PO BOX 221249
Second Line :
City : CHARLOTTE
State : NC
Zip : 28222-1249
Country : US
Telephone Number : 704-332-1291
Fax Number :
Provider Business Practice Location Address
First Line : 3623 LATROBE DR STE 216
Second Line :
City : CHARLOTTE
State : NC
Zip : 28211-2117
Country : US
Telephone Number : 704-332-1291
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2020
Last Update Date : 12/15/2025

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