Healthcare Provider Details

I. General information

NPI: 1891157426
Provider Name (Legal Business Name): SUSAN CHOE DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2016
Last Update Date: 10/04/2024
Certification Date: 10/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 N PICKAWAY ST STE 300MO
CIRCLEVILLE OH
43113-1447
US

IV. Provider business mailing address

2780 AIRPORT DR STE 100
COLUMBUS OH
43219-2289
US

V. Phone/Fax

Practice location:
  • Phone: 740-207-4202
  • Fax: 740-207-4221
Mailing address:
  • Phone: 614-859-1906
  • Fax: 614-645-5517

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number34.014028
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: