Chul Soo Kwon is a Psychiatry in Ellicott City, Maryland. Chul Soo Kwon practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Chul Soo Kwon is 1417943309. The last update date is 2019-06-09.
Chul Soo Kwon's current location address is 2908 Chainita Ct, Ellicott City, Maryland. You can contact this provider via phone number 4434136752 and fax number 4104651436. The mailing address for Chul Soo Kwon is 2908 Chainita Ct, Ellicott City, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Chul Soo Kwon |
|---|---|
| Address | 2908 Chainita Ct, Ellicott City, Maryland |
| Phone Number | 4434136752 |
| Fax Number | 4104651436 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1417943309 |
|---|---|
| Provider Enumeration Date | 2005-09-26 |
| Last Updated Date | 2019-06-09 |
Provider Mailing Address Detail
| Address | 2908 Chainita Ct |
|---|---|
| City | Ellicott City |
| State | Maryland (MD) |
| Post Code | 210427625 |
| Phone Number | 4434136752 |
| Fax Number | 4104651436 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | D0018904 |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 790521100 | MD | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Chul Soo Kwon?
The Chul Soo Kwon has been issued the NPI (National Provider Identifier) 1417943309 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Chul Soo Kwon is located?
The Chul Soo Kwon is situated at the following address: 2908 Chainita Ct, Ellicott City, MD, 210427625.
What is Chul Soo Kwon's area of expertise and its corresponding taxonomy classification?
The Chul Soo Kwon's field of specialization is Psychiatry, and it falls under the taxonomy code 2084P0800X, which categorizes healthcare providers based on their areas of practice.
On what date did the Chul Soo Kwon receive its 1417943309 assignment from the Centers for Medicare & Medicaid Services?
The Chul Soo Kwon was assigned its 1417943309 by the Centers for Medicare & Medicaid Services on 2005-09-26.
As of what date was the information regarding Chul Soo Kwon, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Chul Soo Kwon, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-06-09.
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