Provider Demographics
NPI:1528001203
Name:CHOE, JULIAN PAPPY (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIAN
Middle Name:PAPPY
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 1:2090 OLD FARM DR. SUITE 2-D
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21702
Mailing Address - Country:US
Mailing Address - Phone:301-228-2295
Mailing Address - Fax:301-228-2297
Practice Address - Street 1:2090 OLD FARM DR. SUITE 2-D
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21702
Practice Address - Country:US
Practice Address - Phone:301-228-2295
Practice Address - Fax:301-228-2297
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-13
Last Update Date:2011-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD45519207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD232841100Medicaid
MD452QMedicare ID - Type UnspecifiedMEDICARE PROVIDER #
MD232841100Medicaid