Healthcare Provider Details

I. General information

NPI: 1073930277
Provider Name (Legal Business Name): CASSIE KAI-CHI CHOU M.D., PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2014
Last Update Date: 09/21/2020
Certification Date: 09/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4800 SAND POINT WAY NE OC.7.830
SEATTLE WA
98105-3901
US

IV. Provider business mailing address

4800 SAND POINT WAY NE MB.8.501
SEATTLE WA
98105-3901
US

V. Phone/Fax

Practice location:
  • Phone: 206-870-8880
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0207X
TaxonomyPediatric Hematology & Oncology Physician
License NumberMD60750593
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: