Provider Demographics
NPI:1235478918
Name:CHO, DAVID WANKI
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:WANKI
Last Name:CHO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6819 RED TOP RD APT 3
Mailing Address - Street 2:
Mailing Address - City:TAKOMA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20912-5904
Mailing Address - Country:US
Mailing Address - Phone:202-578-8689
Mailing Address - Fax:
Practice Address - Street 1:6819 RED TOP RD APT 3
Practice Address - Street 2:
Practice Address - City:TAKOMA PARK
Practice Address - State:MD
Practice Address - Zip Code:20912-5904
Practice Address - Country:US
Practice Address - Phone:202-578-8689
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-31
Last Update Date:2013-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide