MEDICARE: SEAN H CHOI 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	207R00000X	Internal Medicine Physician	MD017505E	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	101679	OTHER	UPMC
2	444111434	OTHER	PLAMETTO GBA
3	1417181	OTHER	HIGHMARK
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	72809	OTHER	THREE RIVERS

General Provider Information

NPI Number	:	1104813286
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SEAN H CHOI MD

Provider Business Mailing Address
First Line	:	333 LINCOLN HWY
Second Line	:
City	:	E MC KEESPORT
State	:	PA
Zip	:	15035-1556
Country	:	US
Telephone Number	:	412-824-4015
Fax Number	:	412-824-6141

Provider Business Practice Location Address
First Line	:	333 LINCOLN HWY
Second Line	:
City	:	E MC KEESPORT
State	:	PA
Zip	:	15035-1556
Country	:	US
Telephone Number	:	412-824-4015
Fax Number	:	412-824-6141

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

Provider Enumeration Date	:	10/04/2005
Last Update Date	:	07/01/2010

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