MEDICARE: DR. CHEE-HAHN HUNG M.D.

Medicare Provider Information

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208VP0014X	Interventional Pain Medicine Physician	D0061842	MD
2	208VP0014X	Interventional Pain Medicine Physician	0101236387	VA
3	208VP0014X	Interventional Pain Medicine Physician	MD035189	DC
4	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician	D0061842	MD
5	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician	0101236387	VA
6	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician	MD035189	DC
7	208VP0000X	Pain Medicine Physician	D0061842	MD
8	208VP0000X	Pain Medicine Physician	0101236387	VA
9	208VP0000X	Pain Medicine Physician	MD035189	DC
10	208VP0014X	Interventional Pain Medicine Physician	06102004	MD
11	2081P0010X	Pediatric Rehabilitation Medicine Physician	06102004	MD

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00457402	OTHER		RAILROAD MEDICARE PTAN #

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	46950015	OTHER	DC	BCBS NCA PROVIDER#

NPI Number	:	1861423212
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHEE-HAHN HUNG M.D.

Provider Business Mailing Address
First Line	:	8926 WOODYARD ROAD
Second Line	:	SUITE 701
City	:	CLINTON
State	:	MD
Zip	:	20735
Country	:	US
Telephone Number	:	301-856-1682
Fax Number	:	301-856-8214

Provider Business Practice Location Address
First Line	:	8926 WOODYARD ROAD
Second Line	:	SUITE 701
City	:	CLINTON
State	:	MD
Zip	:	20735
Country	:	US
Telephone Number	:	301-856-1682
Fax Number	:	301-856-8214

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

Provider Enumeration Date	:	07/05/2006
Last Update Date	:	04/17/2015

7491 OLD ALEXANDRIA FERRY RD
CLINTON, MD
20735-1834

Practice Phone: 240-244-9778
Practice Fax:

9006 WOODYARD RD
CLINTON, MD
20735-4206

Practice Phone: 301-856-3636
Practice Fax:

8926 WOODYARD RD STE 602
CLINTON, MD
20735-4235