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NPI Code Detail

MEDICARE: DR. JINOK CHUNG DO

MEDICARE: DR. JINOK CHUNG DO
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
1207R00000XInternal Medicine Physician34006294OH
2207R00000XInternal Medicine Physician3251IA
3207RI0011XInterventional Cardiology Physician4979OK

Other Identifiers

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

General Provider Information

NPI Number : 1841385325
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JINOK CHUNG DO
Provider Business Mailing Address
First Line : 7800 NW 85TH TER
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73132-3385
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 721 S GEORGE NIGH EXPY STE A
Second Line :
City : MCALESTER
State : OK
Zip : 74501-7400
Country : US
Telephone Number : 918-558-2901
Fax Number : 405-608-1240
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2006
Last Update Date : 06/06/2022

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