Provider Demographics
NPI:1730214933
Name:CHONG, EUMING (MD)
Entity type:Individual
Prefix:
First Name:EUMING
Middle Name:
Last Name:CHONG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5913 PATTON ST
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78414-2429
Mailing Address - Country:US
Mailing Address - Phone:361-653-6361
Mailing Address - Fax:361-653-6371
Practice Address - Street 1:1430 TULANE AVE
Practice Address - Street 2:SL 37
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70112-2632
Practice Address - Country:US
Practice Address - Phone:504-988-2339
Practice Address - Fax:504-988-2950
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2022-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-0008026282N00000X
LAMD201889282N00000X
TXP53472080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal MedicineGroup - Single Specialty
No282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1171000Medicaid