Provider Demographics
NPI:1366417222
Name:HA, CHUNG MEA (MD)
Entity type:Individual
Prefix:
First Name:CHUNG
Middle Name:MEA
Last Name:HA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1200 AIRPORT HEIGHTS DR
Mailing Address - Street 2:SUITE 280
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-2943
Mailing Address - Country:US
Mailing Address - Phone:907-339-9700
Mailing Address - Fax:888-339-9501
Practice Address - Street 1:1200 AIRPORT HEIGHTS DR
Practice Address - Street 2:SUITE 280
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-2943
Practice Address - Country:US
Practice Address - Phone:907-339-9700
Practice Address - Fax:888-339-9501
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-22
Last Update Date:2014-05-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AK5747207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKMD8219Medicaid
AKMD8219Medicaid
AK160542Medicare ID - Type UnspecifiedPINE # EFFECTIVE 01/01/06