MEDICARE: LAURA D PHILLIPS-CHOU MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	35.098559	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053635011
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA D PHILLIPS-CHOU MD

Provider Business Mailing Address
First Line	:	6503 E BROAD ST
Second Line	:	SUITE 100
City	:	COLUMBUS
State	:	OH
Zip	:	43213-1692
Country	:	US
Telephone Number	:	614-434-5437
Fax Number	:	614-454-5438

Provider Business Practice Location Address
First Line	:	6503 E BROAD ST
Second Line	:	SUITE 100
City	:	COLUMBUS
State	:	OH
Zip	:	43213-1692
Country	:	US
Telephone Number	:	614-434-5437
Fax Number	:	614-454-5438

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/19/2010
Last Update Date	:	11/08/2023

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Directions to “ LAURA D PHILLIPS-CHOU MD” Practice Location

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