Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kyunghoon Chung, MD

Individual provider Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician · NPI 1821208240

Kyunghoon Chung, MD is a Maxillofacial Surgery in Phoenix, Arizona. Graduated from University of Missouri, Kansas City, School of Medicine in 2014, 12 years ago. Practices with Banner - University Physician Specialists LLC, a 347-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
12
Trained at
University of Missouri, Kansas City, School of Medicine
Licensed in
AZ
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1441 N 12th St
Phoenix, AZ 85006-2837
Phone: (602) 521-5150
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician (primary) Taxonomy 2082S0099X · Licence 55134 (AZ)

Record details

NPI number1821208240
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 23, 2007
Last updated in NPPESApril 25, 2024
Certification dateApril 25, 2024
Mailing address1441 N 12th St, Phoenix, AZ 85006-2837

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMAXILLOFACIAL SURGERY
Medical schoolUNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Banner - University Physician Specialists Llc — 347 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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