Healthcare Provider Details

I. General information

NPI: 1821916503
Provider Name (Legal Business Name): YOON SEONG CHOI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 MANNING DR
CHAPEL HILL NC
27514-4220
US

IV. Provider business mailing address

8-1503, SAMPOONG APT., 200, SEOCHOJUNGANG-RO SEOCHO-GU
SEOUL YES
06601
KR

V. Phone/Fax

Practice location:
  • Phone: 984-974-4668
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085N0700X
TaxonomyNeuroradiology Physician
License Number2026-03844
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: