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NPI Code Detail

MEDICARE: DR. CHANG B. CHOI MD

MEDICARE:  DR. CHANG B. CHOI  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
1207R00000XInternal Medicine PhysicianD0061783MD
2208M00000XHospitalist Physician0101262334VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
164275401OTHERBCBS-MD
20025OTHERCAREFIRST BCBS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
47470776OTHERAETNA
51194607OTHERAETNA
6405721000OTHERAMERIGROUP - AMERICAID
70039732900OTHERFEDERAL BLACK LUNG BENEFITS
8122012OTHERJHHC
90025OTHERBCBS-DC
10AH01OTHERENVOY SITE ID

General Provider Information

NPI Number : 1912907593
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHANG B. CHOI MD
Provider Business Mailing Address
First Line : PO BOX 64916
Second Line :
City : BALTIMORE
State : MD
Zip : 21264-4916
Country : US
Telephone Number : 410-216-6481
Fax Number : 410-280-6515
Provider Business Practice Location Address
First Line : 2001 MEDICAL PKWY
Second Line :
City : ANNAPOLIS
State : MD
Zip : 21401-3280
Country : US
Telephone Number : 443-481-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2005
Last Update Date : 05/20/2022

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Directions to “ DR. CHANG B. CHOI MD” Practice Location

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