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DR. CHUNG KHAN MD
NPI 1225032808
Surgery in Red Bud, IL

Active since June 10, 2005
415 W SOUTH 4TH ST, STE C, RED BUD, IL 62278(618) 282-8700(618) 282-8703 Get Directions Write a Review

NPPES record last updated: September 28, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Chung Khan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CHUNG KHAN MD (NPI 1225032808) is an individual surgery provider in Red Bud, Illinois, licensed in Illinois (036045245) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1225032808
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. CHUNG KHANCredential: MD
Location Address415 W SOUTH 4TH ST, STE CRed Bud, IL 62278-1195
Mailing Address415 W South 4th St, Ste CRed Bud, IL 62278-1195
Phone(618) 282-8700
Fax(618) 282-8703
Sole ProprietorYes
Enumeration DateJune 10, 2005
Last NPPES UpdateSeptember 28, 2010
✔ NPI 1225032808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in IL · 036045245
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
415 W SOUTH 4TH ST, Red Bud, IL 62278
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Other Identifiers 1

Medicare UPINC38888

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chung Khan's NPI number?

The NPI number for Chung Khan is 1225032808. It was assigned to this individual provider in the NPPES registry on June 10, 2005.

Where is Chung Khan located?

Chung Khan practices at 415 W South 4th St Ste C, Red Bud, IL 62278. The listed phone number is (618) 282-8700.

What is Chung Khan's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Chung Khan was last updated on September 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.