Healthcare Provider Details

I. General information

NPI: 1407242894
Provider Name (Legal Business Name): YUN KYONG CHOI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2015
Last Update Date: 10/29/2024
Certification Date: 10/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2121 KENNY RD 6TH FL
COLUMBUS OH
43210-3100
US

IV. Provider business mailing address

700 ACKERMAN RD SUITE 2120
COLUMBUS OH
43202-1559
US

V. Phone/Fax

Practice location:
  • Phone: 614-293-3196
  • Fax: 614-293-4812
Mailing address:
  • Phone: 614-293-3196
  • Fax: 614-293-4812

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0000X
TaxonomyHematology (Internal Medicine) Physician
License Number35.152025
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number288163
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: