KEUN SAM CHUNG MD NPI 1821073107

NPI Information

NPI: 1821073107
Provider Name: KEUN SAM CHUNG, MD
Classification: Anesthesiology - 207LP2900X
Entity Type: Individual

Specialization: Pain Medicine

Address:
20 YORK ST
YNHH TOMPKINS BUILDING 3RD FLOOR
NEW HAVEN, CT
ZIP 06504
Phone: (203) 785-2802
Get Directions

Keun Sam Chung, MD is a pain medicine anesthesiology in New Haven, CT. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. Keun Sam Chung, MD NPI is 1821073107. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

20 YORK ST
YNHH TOMPKINS BUILDING 3RD FLOOR
NEW HAVEN, CT
ZIP 06504-900
Phone: (203) 785-2802
Fax: (203) 785-6664

The enumeration date for this NPI number is 12/9/2005 and was last updated on 6/25/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207L00000X	Anesthesiology		018808	CONNECTICUT	No
2	207LP2900X	Anesthesiology	Pain Medicine	018808	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	D02999	MEDICARE UPIN
2	050000071	MEDICARE ID-TYPE UNSPECIFIED	CONNECTICUT
3	72000000	MEDICARE ID-TYPE UNSPECIFIED	CONNECTICUT
4	001188085	MEDICAID	CONNECTICUT

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: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »