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NPI Code Detail

MEDICARE: DR. KARA JIHEA CHOI MD

MEDICARE: DR. KARA JIHEA 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
1207Q00000XFamily Medicine PhysicianMT192347PA
2207Q00000XFamily Medicine PhysicianMD040308DC
3207Q00000XFamily Medicine Physician260889MA
4207Q00000XFamily Medicine PhysicianDR.0067824CO

General Provider Information

NPI Number : 1619136017
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KARA JIHEA CHOI MD
Provider Business Mailing Address
First Line : PO BOX 9049
Second Line :
City : BOULDER
State : CO
Zip : 80301-9049
Country : US
Telephone Number : 303-415-4101
Fax Number : 303-415-4768
Provider Business Practice Location Address
First Line : 1000 W SOUTH BOULDER RD STE 110
Second Line :
City : LAFAYETTE
State : CO
Zip : 80026-2753
Country : US
Telephone Number : 303-415-4355
Fax Number : 303-666-1982
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2008
Last Update Date : 09/29/2022

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