Healthcare Provider Details

I. General information

NPI: 1134419963
Provider Name (Legal Business Name): GLORIA W CHOI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/13/2011
Last Update Date: 08/06/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 CHILDRENS WAY
NASHVILLE TN
37232-0005
US

IV. Provider business mailing address

2200 CHILDRENS WAY
NASHVILLE TN
37232-0005
US

V. Phone/Fax

Practice location:
  • Phone: 615-936-1000
  • Fax:
Mailing address:
  • Phone: 615-936-1000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC2000X
TaxonomyChildren's Hospital
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number52086
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: