Healthcare Provider Details

I. General information

NPI: 1457344111
Provider Name (Legal Business Name): Y.C. CHOO, M.D., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2005
Last Update Date: 11/01/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3020 S HARVARD AVE SUITE C
TULSA OK
74114-6126
US

IV. Provider business mailing address

3020 S HARVARD AVE SUITE C
TULSA OK
74114-6126
US

V. Phone/Fax

Practice location:
  • Phone: 918-747-6100
  • Fax: 918-747-0402
Mailing address:
  • Phone: 918-747-6100
  • Fax: 918-747-0402

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License Number14935
License Number StateOK

VIII. Authorized Official

Name: DR. YEW CHEONG CHOO
Title or Position: PRESIDENT
Credential: M.D.
Phone: 918-747-6100