Provider Demographics
NPI:1073548715
Name:CHOU, VICTOR H (MD)
Entity Type:Individual
Prefix:
First Name:VICTOR
Middle Name:H
Last Name:CHOU
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 1:25832 ROYAL TROON DR
Mailing Address - Street 2:
Mailing Address - City:DENHAM SPRINGS
Mailing Address - State:LA
Mailing Address - Zip Code:70726-6482
Mailing Address - Country:US
Mailing Address - Phone:504-251-7010
Mailing Address - Fax:
Practice Address - Street 1:31985 LA HIGHWAY 16
Practice Address - Street 2:
Practice Address - City:DENHAM SPRINGS
Practice Address - State:LA
Practice Address - Zip Code:70726-1462
Practice Address - Country:US
Practice Address - Phone:225-791-8800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2011-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA200033207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LAP00925256OtherMCARE RAILROAD
LA1065382Medicaid
LA4K267C822Medicare PIN
LA1065382Medicaid