Provider Demographics
NPI:1386610152
Name:HONET, LINDA CHUNG (MD)
Entity type:Individual
Prefix:DR
First Name:LINDA
Middle Name:CHUNG
Last Name:HONET
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:LINDA
Other - Middle Name:C
Other - Last Name:CHUNG-HONET
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:36800 WOODWARD AVENUE
Mailing Address - Street 2:SUITE 110
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48304-0916
Mailing Address - Country:US
Mailing Address - Phone:248-792-7600
Mailing Address - Fax:248-792-7889
Practice Address - Street 1:36800 WOODWARD AVENUE
Practice Address - Street 2:SUITE 110
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48304-0916
Practice Address - Country:US
Practice Address - Phone:248-792-7600
Practice Address - Fax:248-792-7889
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-23
Last Update Date:2015-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301063266207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIN48440001OtherMEDICARE ID-TYPE UNSPECIFIED
MIF95066Medicare UPIN