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NPI Code Detail

MEDICARE: DR. MIRAN CHOI M.D.

MEDICARE: DR. MIRAN CHOI 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
12084P0800XPsychiatry PhysicianA84621CA

General Provider Information

NPI Number : 1770644452
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MIRAN CHOI M.D.
Provider Business Mailing Address
First Line : 2625 ALCATRAZ AVE # 196
Second Line :
City : BERKELEY
State : CA
Zip : 94705-2702
Country : US
Telephone Number : 510-684-6834
Fax Number : 510-849-1495
Provider Business Practice Location Address
First Line : 2305 ASHBY AVE
Second Line :
City : BERKELEY
State : CA
Zip : 94705-1909
Country : US
Telephone Number : 510-684-6834
Fax Number : 510-849-1495
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2006
Last Update Date : 11/22/2016

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Directions to “ DR. MIRAN CHOI M.D.” Practice Location

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