MEDICARE: DR. YOON J CHO D.O.

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	H0060318	MD

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

General Provider Information

NPI Number	:	1811094469
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. YOON J CHO D.O.

Provider Business Mailing Address
First Line	:	6161 EXECUTIVE BLVD
Second Line	:
City	:	NORTH BETHESDA
State	:	MD
Zip	:	20852-3901
Country	:	US
Telephone Number	:	301-871-3400
Fax Number	:	301-871-3441

Provider Business Practice Location Address
First Line	:	6161 EXECUTIVE BLVD
Second Line	:
City	:	NORTH BETHESDA
State	:	MD
Zip	:	20852-3901
Country	:	US
Telephone Number	:	301-871-3400
Fax Number	:	301-871-3441

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

Provider Enumeration Date	:	09/17/2006
Last Update Date	:	03/14/2019

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