Provider Demographics
NPI:1205862869
Name:CHOI, JOHN Y (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
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 1:4954 NORTH PALMER RD
Mailing Address - Street 2:BLDG #19, 6TH FL, ROOM 6146
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20889-5630
Mailing Address - Country:US
Mailing Address - Phone:301-295-4771
Mailing Address - Fax:301-295-4759
Practice Address - Street 1:8901 ROCKVILLE PIKE
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20889-3300
Practice Address - Country:US
Practice Address - Phone:301-295-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-24
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01012401182084V0102X, 2085D0003X, 2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084V0102XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyVascular Neurology
No2085D0003XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Neuroimaging
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX156937801Medicaid
VA010285135Medicaid
VAP00349152OtherRAILROAD MEDICARE
VA237703OtherANTHEM BCBS
VA001880619OtherMOUNTAIN STATE BCBS
TX8F6712OtherBCBS
TX130026306OtherRAILROAD MEDICARE
VA011552W35Medicare PIN
TX8F6712OtherBCBS
VAP00349152OtherRAILROAD MEDICARE