1275711699 NPI number — MO-PING CHOW M D P A

Table of content: (NPI 1275711699)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1275711699 NPI number — MO-PING CHOW M D P A

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MO-PING CHOW M D P A
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1275711699
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/22/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2401 RESEARCH BLVD STE 370
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ROCKVILLE
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
20850-3269
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
301-963-9800
Provider Business Mailing Address Fax Number:
301-963-9700

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2401 RESEARCH BLVD STE 370
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ROCKVILLE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20850-3269
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-963-9800
Provider Business Practice Location Address Fax Number:
301-963-9700
Provider Enumeration Date:
02/07/2008

Additional Information

Authorized Official

Authorized Official Last Name:
CHOW
Authorized Official First Name:
MO-PING
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
301-963-9800

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  D0052457 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 252576 . This is a "MAMSI" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 1024195 . This is a "AETNA HMO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 113810 . This is a "ANTHEM BCBS" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 1772671 . This is a "UNITEDHEALTHCARE" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 51240001 . This is a "BCBS CAPITAL AREA" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 52457 . This is a "HEALTHNET" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 5943593 . This is a "AETNA PPO" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 285110500 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".




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