Healthcare Provider Details

I. General information

NPI: 1336229079
Provider Name (Legal Business Name): SUKGI S CHOI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 02/17/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 CHILDRENS HOSPITAL DR
PITTSBURGH PA
15224-1529
US

IV. Provider business mailing address

3600 FORBES AVE SUITE 9055
PITTSBURGH PA
15213
US

V. Phone/Fax

Practice location:
  • Phone: 412-692-5902
  • Fax:
Mailing address:
  • Phone: 412-692-5902
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YP0228X
TaxonomyPediatric Otolaryngology Physician
License NumberMD450119
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: