Provider Demographics
NPI:1235186990
Name:CHOE, WU-JUNG (MD)
Entity Type:Individual
Prefix:
First Name:WU-JUNG
Middle Name:
Last Name:CHOE
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 1:1221 S SUNNYLANE RD
Mailing Address - Street 2:
Mailing Address - City:DEL CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73115-3011
Mailing Address - Country:US
Mailing Address - Phone:405-677-2424
Mailing Address - Fax:405-677-6740
Practice Address - Street 1:1221 S SUNNYLANE RD
Practice Address - Street 2:
Practice Address - City:DEL CITY
Practice Address - State:OK
Practice Address - Zip Code:73115-3011
Practice Address - Country:US
Practice Address - Phone:405-677-2424
Practice Address - Fax:405-677-6740
Is Sole Proprietor?:No
Enumeration Date:2006-05-28
Last Update Date:2008-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK15276174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
$$$$$$$$$Medicare PIN
OKD34499Medicare UPIN