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NPI Code Detail

MEDICARE: YOUNG CHA MD

MEDICARE:   YOUNG  CHA  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
1208000000XPediatrics PhysicianD0021510MD

General Provider Information

NPI Number : 1558467969
Entity Type Code : Individual
Provider Name (Legal Business Name) : YOUNG CHA MD
Provider Business Mailing Address
First Line : 6201 GREENBELT RD
Second Line : M16
City : BERWYN HEIGHTS
State : MD
Zip : 20740-2354
Country : US
Telephone Number : 301-441-4400
Fax Number : 301-441-3008
Provider Business Practice Location Address
First Line : 7582 ANNAPOLIS RD
Second Line :
City : HYATTSVILLE
State : MD
Zip : 20784-1744
Country : US
Telephone Number : 301-618-1550
Fax Number : 301-429-1873
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2006
Last Update Date : 07/08/2007

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Directions to “ YOUNG CHA MD” Practice Location

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