MEDICARE: STELLA YI 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	207W00000X	Ophthalmology Physician	325931-1205	UT

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	:	1649450628
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STELLA YI CHOU MD

Provider Business Mailing Address
First Line	:	8789 S HIGHLAND DR
Second Line	:	STE 100
City	:	SANDY
State	:	UT
Zip	:	84093-1600
Country	:	US
Telephone Number	:	801-943-4999
Fax Number	:	801-943-3876

Provider Business Practice Location Address
First Line	:	8789 S HIGHLAND DR
Second Line	:	STE 100
City	:	SANDY
State	:	UT
Zip	:	84093-1600
Country	:	US
Telephone Number	:	801-943-4999
Fax Number	:	801-943-3876

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

Provider Enumeration Date	:	11/07/2007
Last Update Date	:	04/07/2022

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