Healthcare Provider Details

I. General information

NPI: 1255074704
Provider Name (Legal Business Name): PAUL CHO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2022
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 E MEDICAL CENTER DR SPC 5845
ANN ARBOR MI
48109-5845
US

IV. Provider business mailing address

1500 E MEDICAL CENTER DR SPC 5845
ANN ARBOR MI
48109-5845
US

V. Phone/Fax

Practice location:
  • Phone: 734-936-9068
  • Fax: 734-936-5377
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number2552150233
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: