Provider Demographics
NPI:1003885831
Name:CHO, SHELDON K (MD)
Entity Type:Individual
Prefix:
First Name:SHELDON
Middle Name:K
Last Name:CHO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:109 BELMONT PLACE CIR
Mailing Address - Street 2:
Mailing Address - City:SOUTHLAKE
Mailing Address - State:TX
Mailing Address - Zip Code:76092-5123
Mailing Address - Country:US
Mailing Address - Phone:310-994-8275
Mailing Address - Fax:972-382-5035
Practice Address - Street 1:2600 MACARTHUR BLVD STE 701
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75067-6747
Practice Address - Country:US
Practice Address - Phone:972-837-9345
Practice Address - Fax:972-382-5035
Is Sole Proprietor?:No
Enumeration Date:2006-03-15
Last Update Date:2024-01-02
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Provider Licenses
StateLicense IDTaxonomies
TXS6593207Q00000X, 208VP0014X, 207LP2900X
CAA76078208VP0014X
FLME86744208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAH67325Medicare UPIN
CAAQ512ZMedicare PIN