CHELINH D PHUNG PA NPI 1447249578

NPI Information

NPI: 1447249578
Provider Name: CHELINH D PHUNG, PA
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Address:
10101 PARK ROWE AVE
SUITE 200
BATON ROUGE, LA
ZIP 70810
Phone: (225) 769-2200
Get Directions

Chelinh D Phung, PA is a surgical physician assistant in Baton Rouge, LA. Chelinh D Phung, PA NPI is 1447249578. 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:

10101 PARK ROWE AVE
SUITE 200
BATON ROUGE, LA
ZIP 70810-686
Phone: (225) 769-2200
Fax: (225) 768-2185

The enumeration date for this NPI number is 10/20/2005 and was last updated on 3/28/2008.

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	363AS0400X	Physician Assistant	Surgical	A10460	LOUISIANA	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	1625825	MEDICAID	LOUISIANA
2	5E263P407	MEDICARE PIN	LOUISIANA
3	P58888	MEDICARE UPIN	LOUISIANA

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

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