MR. SONG SUCK CHUNG MD NPI 1700968047

NPI Information

  • NPI: 1700968047
  • Provider Name: MR. SONG SUCK CHUNG, MD
  • Classification: Obstetrics & Gynecology - 207VG0400X
  • Specialization: Gynecology
  • Entity Type: Individual
  • Address: 1412 N CRAIN HWY
    SUITE 6A
    GLEN BURNIE, MD
    ZIP 21061
  • Phone: (410) 582-9292

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NPI Details

MR. Song Suck Chung, MD is a gynecology obstetrics gynecology in Glen Burnie, MD. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee MR. Song Suck Chung, MD NPI is 1700968047. 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:

1412 N CRAIN HWY
SUITE 6A
GLEN BURNIE, MD
ZIP 21061-306
Phone: (410) 582-9292
Fax: (410) 582-9295

The enumeration date for this NPI number is 10/19/2006 and was last updated on 7/8/2007.

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
1207VG0400XObstetrics & GynecologyGynecologyD14172MARYLANDYes

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
1KFJ3OTHERMARYLANDBLUE CROSS BLUE SHIELD
22275MEDICARE ID-TYPE UNSPECIFIEDMARYLAND
305740001OTHERMARYLANDBLUE CHOICE
4D76449MEDICARE UPIN

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: 3/30/2025

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