Tsunie Chanchien, M.D.

Individual provider Active NPI Internal Medicine Physician · Berwyn Heights, MD

NPI 1861672305 · NPPES record last updated Sep 9, 2015

Key facts

NPI
1861672305
Entity type
Individual (NPI type 1)
Primary specialty
Internal Medicine Physician 207R00000X
License
D13339 MD (MD)
Practice address
8824 Cunningham Dr Ste a
Berwyn Heights, MD 20740-2338
Phone
(301) 345-8616
Fax
(301) 345-2779
NPI assigned
Nov 13, 2007
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D13339 MDMDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D13339 MD MD Yes

Addresses

Primary practice location

8824 Cunningham Dr Ste a
Berwyn Heights, MD 20740-2338

Mailing address

8824 Cunningham Dr Ste a
Berwyn Heights, MD 20740-2338
Phone (301) 345-8616

Other identifiers

IdentifierTypeStateIssuer
115621700 MDMedicaidMD
12109OtherMDCAREFIRST OF MARYLAND
01780001OtherDCCAREFIRST OF DC

Other providers in Berwyn Heights, MD

All providers in Berwyn Heights, MD · Internal Medicine Physician in Maryland

Sources for this page

Verify at the official NPI Registry.