Healthcare Provider Details

I. General information

NPI: 1144667338
Provider Name (Legal Business Name): YU-TE CHOU MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: DAVID CHOU MD

II. Dates (important events)

Enumeration Date: 05/28/2013
Last Update Date: 11/08/2021
Certification Date: 11/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2401 W BELVEDERE AVE
BALTIMORE MD
21215-5216
US

IV. Provider business mailing address

2401 W BELVEDERE AVE
BALTIMORE MD
21215-5216
US

V. Phone/Fax

Practice location:
  • Phone: 313-844-4650
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberP28804
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: