Provider Demographics
NPI:1043324577
Name:CHOI, DAVE Y (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVE
Middle Name:Y
Last Name:CHOI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1622
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:MD
Mailing Address - Zip Code:21123-1622
Mailing Address - Country:US
Mailing Address - Phone:410-553-0106
Mailing Address - Fax:
Practice Address - Street 1:7845 OAKWOOD RD
Practice Address - Street 2:SUITE # 205
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-4280
Practice Address - Country:US
Practice Address - Phone:410-553-0106
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-19
Last Update Date:2008-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0038547208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD020010859OtherRAILROAD MEDICARE #
MD2295DYOtherCAREFIRST MARYLAND #
MD538581400Medicaid
MDE216OtherBLUECHOICE MARYALND #
MDE54181Medicare UPIN
MD538581400Medicaid