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NPI Code Detail

MEDICARE: DR. JAE CHO MD

MEDICARE: DR. JAE CHO 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
12084P0800XPsychiatry Physician032347MI

Other Identifiers

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

General Provider Information

NPI Number : 1376572982
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAE CHO MD
Provider Business Mailing Address
First Line : 5856 BIRCHCREST DR
Second Line :
City : SAGINAW
State : MI
Zip : 48638-5903
Country : US
Telephone Number : 989-790-9497
Fax Number :
Provider Business Practice Location Address
First Line : 420 W 5TH AVE
Second Line :
City : FLINT
State : MI
Zip : 48503-2445
Country : US
Telephone Number : 810-257-3700
Fax Number : 810-257-3785
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2006
Last Update Date : 04/19/2026

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