Provider Demographics
NPI:1497719165
Name:CHOI, HYUNGKI (MD)
Entity Type:Individual
Prefix:
First Name:HYUNGKI
Middle Name:
Last Name:CHOI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:ROBERT
Other - Middle Name:
Other - Last Name:CHOI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 1648
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97440-1648
Mailing Address - Country:US
Mailing Address - Phone:541-228-3400
Mailing Address - Fax:541-284-2937
Practice Address - Street 1:330 S GARDEN WAY
Practice Address - Street 2:SUITE 270
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-8176
Practice Address - Country:US
Practice Address - Phone:541-228-3400
Practice Address - Fax:541-284-2937
Is Sole Proprietor?:No
Enumeration Date:2006-04-12
Last Update Date:2010-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD264092084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR272017Medicaid
ORR136260Medicare PIN
G29934Medicare UPIN