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NPI Code Detail

MEDICARE: CHITOH ELVIN SOH

MEDICARE: CHITOH ELVIN SOH
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
1172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1811723109
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHITOH ELVIN SOH
Provider Business Mailing Address
First Line : 2002 OAKWOOD ST
Second Line :
City : TEMPLE HILLS
State : MD
Zip : 20748-4336
Country : US
Telephone Number : 301-310-2357
Fax Number :
Provider Business Practice Location Address
First Line : 702 15TH ST NE
Second Line :
City : WASHINGTON
State : DC
Zip : 20002-4508
Country : US
Telephone Number : 202-388-8500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2024
Last Update Date : 09/12/2024

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Directions to “ CHITOH ELVIN SOH ” Practice Location

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