Healthcare Provider Details

I. General information

NPI: 1720549314
Provider Name (Legal Business Name): EDWIN F CHOU MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2019
Last Update Date: 04/22/2025
Certification Date: 04/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 E MARKET ST
AKRON OH
44304-1619
US

IV. Provider business mailing address

3325 GREEN RD
BEACHWOOD OH
44122-4050
US

V. Phone/Fax

Practice location:
  • Phone: 330-375-3043
  • Fax: 330-706-4856
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number35150743
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: