MEDICARE: DR. CARRIE T CHO DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	0103300885	VA

General Provider Information

NPI Number	:	1356340798
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CARRIE T CHO DPM

Provider Business Mailing Address
First Line	:	1232 PERIMETER PARKWAY
Second Line	:	STE. 102
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23454-5924
Country	:	US
Telephone Number	:	757-427-7447
Fax Number	:	757-301-7145

Provider Business Practice Location Address
First Line	:	1232 PERIMETER PARKWAY
Second Line	:	STE. 102
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23454-5924
Country	:	US
Telephone Number	:	757-427-7447
Fax Number	:	757-301-7145

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2005
Last Update Date	:	03/09/2016

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