SUSANA CHUNG PA-C NPI 1669626461

NPI Information

  • NPI: 1669626461
  • Provider Name: SUSANA CHUNG, PA-C
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 111 MICHIGAN AVE NW
    WASHINGTON, DC
    ZIP 20010
  • Phone: (202) 476-4063

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NPI Details

Susana Chung, PA-C is a surgical physician assistant in Washington, DC. Susana Chung, PA-C NPI is 1669626461. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

111 MICHIGAN AVE NW
WASHINGTON, DC
ZIP 20010-916
Phone: (202) 476-4063

The NPI 1669626461 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/6/2008 and was last updated on 8/19/2024.

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
1363A00000XPhysician Assistant0110004184VIRGINIANo
2363AS0400XPhysician AssistantSurgicalYes

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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