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MAMONLUK CHUA MEDICAL GROUP PC NPI 1295987436


NPI Information

NPI: 1295987436
Provider Name: MAMONLUK CHUA MEDICAL GROUP, PC

Other Name: MCMG

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 09D1092357

Address:
1160 VARNUM ST NE
SUITE # 008
WASHINGTON, DC
ZIP 20017
Phone: (202) 526-3897
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MAMONLUK CHUA MEDICAL GROUP, PC is an internal medicine in Washington, DC. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. MAMONLUK CHUA MEDICAL GROUP, PC NPI is 1295987436. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Mcmg.

The provider's business location address is:

1160 VARNUM ST NE
SUITE # 008
WASHINGTON, DC
ZIP 20017-110
Phone: (202) 526-3897
Fax: (202) 526-7723

The provider's authorized official is Ferdinand P Chua .
The authorized official title is President and has the following contact phone number (202) 526-3897.

The CLIA number assigned to this NPI record is 09D1092357 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/21/2008 and was last updated on 1/19/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207K00000XAllergy & ImmunologyMD037327DISTRICT OF COLUMBIANo
2207R00000XInternal MedicineMD037395DISTRICT OF COLUMBIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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