MEDICARE: DR. YOUNG HEI CHO M.D.

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	208000000X	Pediatrics Physician	0101029953	VA

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

General Provider Information

NPI Number	:	1720057383
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. YOUNG HEI CHO M.D.

Provider Business Mailing Address
First Line	:	650 POTOMAC RIVER RD
Second Line	:
City	:	MC LEAN
State	:	VA
Zip	:	22102-1403
Country	:	US
Telephone Number	:	703-821-2940
Fax Number	:	703-354-2009

Provider Business Practice Location Address
First Line	:	7501 LITTLE RIVER TPKE
Second Line	:	SUITE 101
City	:	ANNANDALE
State	:	VA
Zip	:	22003-2923
Country	:	US
Telephone Number	:	703-354-2004
Fax Number	:	703-354-2009

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

Provider Enumeration Date	:	03/16/2006
Last Update Date	:	07/08/2007

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