Provider Demographics
NPI:1093862039
Name:CHO, MYUNG JOO (MD)
Entity Type:Individual
Prefix:DR
First Name:MYUNG
Middle Name:JOO
Last Name:CHO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3934 SOUTH WESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57105
Mailing Address - Country:US
Mailing Address - Phone:605-322-7524
Mailing Address - Fax:605-322-7526
Practice Address - Street 1:3934 SOUTH WESTERN AVE
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105
Practice Address - Country:US
Practice Address - Phone:605-322-7524
Practice Address - Fax:605-322-7526
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SD1742208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD6630230Medicaid
SD0009831OtherBCBS
108851OtherAVERA HEALTH PLANS
79879CHOtherBLUE PLUS OF MN
IA0998294Medicaid
21346OtherSIOUX VALLEY HEALTH PLAN
NE46040769200Medicaid
SD0009831OtherBCBS