Provider Demographics
NPI:1861423212
Name:HUNG, CHEE-HAHN (MD)
Entity type:Individual
Prefix:DR
First Name:CHEE-HAHN
Middle Name:
Last Name:HUNG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8926 WOODYARD ROAD
Mailing Address - Street 2:SUITE 701
Mailing Address - City:CLINTON
Mailing Address - State:MD
Mailing Address - Zip Code:20735
Mailing Address - Country:US
Mailing Address - Phone:301-856-1682
Mailing Address - Fax:301-856-8214
Practice Address - Street 1:8926 WOODYARD ROAD
Practice Address - Street 2:SUITE 701
Practice Address - City:CLINTON
Practice Address - State:MD
Practice Address - Zip Code:20735
Practice Address - Country:US
Practice Address - Phone:301-856-1682
Practice Address - Fax:301-856-8214
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2015-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0061842208VP0014X, 2081P2900X, 208VP0000X
VA0101236387208VP0014X, 2081P2900X, 208VP0000X
DCMD035189208VP0014X, 2081P2900X, 208VP0000X
MD06102004208VP0014X, 2081P0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
No2081P0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPediatric Rehabilitation Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC46950015OtherBCBS NCA PROVIDER#
P00457402OtherRAILROAD MEDICARE PTAN #
52 1054342OtherTAX ID NUMBER
P00457402OtherRAILROAD MEDICARE PTAN #
0254450001Medicare NSC
462LMedicare PIN
0254450002Medicare NSC
I20600Medicare UPIN
52 1054342OtherTAX ID NUMBER