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Contact Information

CONNIE Y CHUNG, MD, MS
175 N MEDICAL DR
SALT LAKE CITY, UT84112-1103
 Phone: 801-581-2121
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurocritical Care

2084A2900X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for CONNIE Y CHUNG · (Female)

NPI Number 1427611789
Status Active
Credentials MD, MS
Entity Individual
Enumeration date 04/22/2019
Last updated 05/23/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • UT License # 13356827-1205
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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