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Chull Sung Song, MD
Diagnostic Radiology Physician in Tracy, California
NPI 1154312668

Chull Sung Song is a Diagnostic Radiology Physician based in Modesto, CA and is specialized in Diagnostic Radiology. Chull Sung Song practices in Tracy, CA and has the professional credentials of MD. The NPI Number for Chull Sung Song is 1154312668 and holds a License No. G13535 (California).

The current practice location address for Chull Sung Song is 1530 Bessie Ave, Tracy, CA and can be reached out via phone at 209-342-2300 and via fax at 209-524-4240.

Location: 1530 Bessie Ave, Tracy, CA, 95356-9262
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154312668
Provider Name
Chull Sung Song
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1530 Bessie Ave, Tracy, CA, 95356-9262
Phone Number
209-342-2300
Fax Number
209-524-4240
Provider Enumeration Date
11/03/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
OOG135350 01 CA BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1530 Bessie Ave
City
Tracy
State
California
Zip
95376-3080
Phone Number
209-342-2300
Fax Number
209-524-4240
person
Provider Business Mailing Address Details
Address
1530 Bessie Ave
City
Tracy
State
California
Zip
95376-3080
Phone Number
209-342-2300
Fax Number
209-524-4240
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
G13535 (California)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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