Healthcare Provider Details

I. General information

NPI: 1073985149
Provider Name (Legal Business Name): JAMES CHO M.D., LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2015
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9890 CLAYTON RD SUITE 100
SAINT LOUIS MO
63124-1685
US

IV. Provider business mailing address

9890 CLAYTON RD SUITE 100
SAINT LOUIS MO
63124-1685
US

V. Phone/Fax

Practice location:
  • Phone: 314-222-5882
  • Fax: 314-222-5883
Mailing address:
  • Phone: 314-222-5882
  • Fax: 314-222-5883

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number201427562
License Number StateMO

VIII. Authorized Official

Name: JAMES PETER CHO
Title or Position: OWNER
Credential: M.D.
Phone: 314-725-1515