MEDICARE: MICHAEL TAEHOON CHUNG DPM

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
1	213ES0131X	Foot Surgery Podiatrist	0103300727	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164416681
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL TAEHOON CHUNG DPM

Provider Business Mailing Address
First Line	:	5253 PROVIDENCE RD STE 100
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23464-4201
Country	:	US
Telephone Number	:	757-252-4640
Fax Number	:	757-510-9343

Provider Business Practice Location Address
First Line	:	5253 PROVIDENCE RD STE 100
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23464-4201
Country	:	US
Telephone Number	:	757-252-4640
Fax Number	:	757-510-9343

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/12/2005
Last Update Date	:	05/06/2024

Similar Medicare Providers

1992303580 — RACHEL MCHUGH
Practice Location Address:

5237 PROVIDENCE RD
VIRGINIA BEACH, VA
23464-4201

Practice Phone: 757-495-9713
Practice Fax:

1982623625 — TIMOTHY L JACKSON PA-C
Practice Location Address:

5249 PROVIDENCE RD
VIRGINIA BEACH, VA
23464-4201

Practice Phone: 757-467-3900
Practice Fax: 757-467-7800

1811084346 — MRS. KIMBERLY E SILVER PA-C
Practice Location Address:

5249 PROVIDENCE RD
VIRGINIA BEACH, VA
23464-4201

Practice Phone: 757-467-3900
Practice Fax: 757-467-7800

1235123019 — MICHAEL HOLTZ DPM
Practice Location Address:

5253 PROVIDENCE RD , SUITE 100
VIRGINIA BEACH, VA
23464-4201

Practice Phone: 757-495-6113
Practice Fax: 757-495-6156

1134285299 — DR. LAWRENCE A. KLAR D.D.S.
Practice Location Address:

5241 PROVIDENCE RD
VIRGINIA BEACH, VA
23464-4201

Practice Phone: 757-495-3110
Practice Fax: 757-495-7722

1154514743 — LAWRENCE A. KLAR, D.D.S, M.S., LTD.
Practice Location Address:

5241 PROVIDENCE RD
VIRGINIA BEACH, VA
23464-4201

Practice Phone: 757-495-3110
Practice Fax:

Directions to “ MICHAEL TAEHOON CHUNG DPM” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.