KUNG PLASTIC SURGERY P.A. NPI 1417973009

NPI Information

  • NPI: 1417973009
  • Provider Name: KUNG PLASTIC SURGERY, P.A.
  • Classification: Surgery - 2086S0122X
  • Specialization: Plastic and Reconstructive Surgery
  • Entity Type: Organization
  • Address: 5454 WISCONSIN AVE
    SUITE 635
    CHEVY CHASE, MD
    ZIP 20815
  • Phone: (301) 986-8878

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NPI Details

KUNG PLASTIC SURGERY, P.A. is a plastic and reconstructive surgery surgery in Chevy Chase, MD. The provider is a surgeon who specializes in plastic and reconstructive surgery. KUNG PLASTIC SURGERY, P.A. NPI is 1417973009. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5454 WISCONSIN AVE
SUITE 635
CHEVY CHASE, MD
ZIP 20815-901
Phone: (301) 986-8878
Fax: (301) 986-8879

The provider's authorized official is David S. Kung .
The authorized official title is President and has the following contact phone number (301) 986-8878.

The enumeration date for this NPI number is 7/15/2006 and was last updated on 9/18/2008.

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
12086S0122XSurgeryPlastic and Reconstructive SurgeryD53737MARYLANDYes

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 Other Provider Identifier Issuer
1G76733MEDICARE UPIN
2490167MEDICARE ID-TYPE UNSPECIFIED

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: 11/21/2025

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