MEDICARE: REBECCA ELIZABETH CHOI M.D.

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	207Q00000X	Family Medicine Physician	0101265160	VA
2	207Q00000X	Family Medicine Physician	MD492928	PA
3	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1497135073
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA ELIZABETH CHOI M.D.

Provider Business Mailing Address
First Line	:	110 N ROBINSON ST STE 400
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23220-4462
Country	:	US
Telephone Number	:	804-822-3480
Fax Number	:	804-822-3484

Provider Business Practice Location Address
First Line	:	110 N ROBINSON ST STE 400
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23220-4462
Country	:	US
Telephone Number	:	804-822-3480
Fax Number	:	804-822-3484

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

Provider Enumeration Date	:	06/09/2015
Last Update Date	:	12/08/2025

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