MEDICARE: Y.C. CHOO, M.D., P.C.

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	207VX0201X	Gynecologic Oncology Physician	14935	OK

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457344111
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	Y.C. CHOO, M.D., P.C.

Provider Business Mailing Address
First Line	:	3020 S HARVARD AVE
Second Line	:	SUITE C
City	:	TULSA
State	:	OK
Zip	:	74114-6126
Country	:	US
Telephone Number	:	918-747-6100
Fax Number	:	918-747-0402

Provider Business Practice Location Address
First Line	:	3020 S HARVARD AVE
Second Line	:	SUITE C
City	:	TULSA
State	:	OK
Zip	:	74114-6126
Country	:	US
Telephone Number	:	918-747-6100
Fax Number	:	918-747-0402

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. YEW CHEONG CHOO
Credential	:	M.D.
Telephone Number	:	918-747-6100

Provider Enumeration Date	:	08/29/2005
Last Update Date	:	11/01/2007

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