Provider Demographics
NPI:1417523606
Name:CHA, JOHN JUNEYOUNG (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:JUNEYOUNG
Last Name:CHA
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6801 W MEMORIAL RD UNIT E
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73142-2103
Mailing Address - Country:US
Mailing Address - Phone:405-491-4090
Mailing Address - Fax:405-491-4091
Practice Address - Street 1:6801 W MEMORIAL RD UNIT E
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73142-2103
Practice Address - Country:US
Practice Address - Phone:405-491-4090
Practice Address - Fax:405-491-4091
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-28
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT223111207Q00000X
OK43832207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine