MEDICARE: RODNEY V CHOU MD

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	174400000X	Specialist	29654	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750385480
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RODNEY V CHOU MD

Provider Business Mailing Address
First Line	:	PO BOX 43905
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40253-0905
Country	:	US
Telephone Number	:	502-583-4700
Fax Number	:	502-583-8434

Provider Business Practice Location Address
First Line	:	13328 SHELBYVILLE RD
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40223-3936
Country	:	US
Telephone Number	:	502-583-4700
Fax Number	:	502-583-8434

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

Provider Enumeration Date	:	06/10/2005
Last Update Date	:	04/26/2017

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Directions to “ RODNEY V CHOU MD” Practice Location

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